MUNA 2013 Application forms.pdf - Rotary District 9650

rotary9650.org.au

MUNA 2013 Application forms.pdf - Rotary District 9650

MUNA 2013

Rotary District 9650 Model United Nations Assembly

To be held at St Columba Anglican School Port Macquarie, 17-19 May, 2013

TEAM APPLICATION 1

Participating School:……………………………………………..

Sponsor Rotary Club:…………………………………………….

Delegates [Team Members]

Name:………………………………….

Name:……………………………….

Male/Female please circle

Male/Female please circle

Age: [ ] School year [ ] Age: [ ] School year [ ]

Address:……….………….….…………. Address:………….………………….

………………………………..………….. …………………………..……………

……………………………..…………..… ………………………………..………

Telephone: […..] [……………………..] Telephone: […..] [………………….]

Counselor:

Mr/Mrs/Ms………………………………

Rotary Contact

Name:……………………………….

Address: ………………………… Address:……………………………

…………………………………………

Telephone:

……………………………………….

Telephone:

Bus. [……] [……………….…….....] Bus. [……] [……….……………...]

Home [……] [………………………...]

Home [……] [……….……………...]

Please provide all possible email addresses, (team members, counselor, Rotarian so we can keep

you informed in the lead up to MUNA – these will be protected and only used for MUNA).

email …………………………………

email …………………………………

email …………………………………

email …………………………………

Please return the application to:

Jan Crombie, PO Box 566, Port Macquarie 2444

Applications are to include a cheque payable to “Rotary District 9650, MUNA

Committee” for the entry fee of $180 per team.

Applications close on 24 April 2013

1 Where schools have multiple teams, please fill in separate forms for each team.


MUNA 2013 - Team from ………………………………………………………………School

Additional Information

Country preferences

Please specify up to 3 choices of country and indicate if your class will be studying any

of these at school:

1:………………………………….2:…………………..…………3:……………………………

Suggested Motions for Debate

(Note: We will try to put as many suggested Motions as possible into the agenda.

However, your Team may not be allocated a leading speaking role on a motion you

nominate if it does not “fit” with the attitudes of the Country you are allocated.)

Motion A

Motion B

(More if You Wish). Please indicate if your class will be studying any of the issues

Accommodation arrangements:

• Private arrangements with friends or in a motel with family.

• Billets will be available for student team members. However we will not able to offer counselor

billeting until and if all students have been accommodated. Teams requiring billets are requested

to advise at time of registration as follows

We will/will not (please circle) require billeting for [……..] students in this team.

Dietary Issues: Please indicate if any team members or counselors have any dietary issues (eg.

gluten-free; vegetarian – this assists us with catering).

Office

Use Only

Application Received

Fee

Country Allocated

The Media will be covering some aspects of MUNA. If you do not wish your son/daughter to be included in any

aspect of media presentation please complete the following form:

I do not wish my son/daughter ______________________________ to be included in any media release whilst

participating in MUNA._______________________________________ Parent/ Guardian

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