Julia C. Black Memorial Scholarship Speech Contest Application
(All applications must be submitted no later than December 30, 2025.)

Question Title

* 1. Student Name

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* 2. Parent/Guardian Name

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* 3. Street Address

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* 4. County

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* 5. Student Phone Number

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* 6. Parent Phone Number

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* 7. Student Email

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* 8. Parent Email

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* 9. Preferred Method of Contact (please select one)

Phone Call

Text Message

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* 10. School/Club

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* 11. Grade

9th

10th

11th

12th

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* 12. Do you have any immediate family members in the Florida citrus industry? (This will not affect your acceptance into the competition in any way.)

Yes

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* 13. If yes, what is their name and relation to you?

Any questions regarding the application or participation should be directed to Melanie Burns at 863-682-1116 or melanieb@flcitrusmutual.com.

Julia C. Black Memorial Scholarship Speech Contest Application(All applications must be submitted no later than December 30, 2025.)

Question Title

* 1. Student Name

Question Title

* 2. Parent/Guardian Name

Question Title

* 3. Street Address

Question Title

* 4. County

Question Title

* 5. Student Phone Number

Question Title

* 6. Parent Phone Number

Question Title

* 7. Student Email

Question Title

* 8. Parent Email

Question Title

* 9. Preferred Method of Contact (please select one)

Question Title

* 10. School/Club

Question Title

* 11. Grade

Question Title

* 12. Do you have any immediate family members in the Florida citrus industry? (This will not affect your acceptance into the competition in any way.)

Question Title

* 13. If yes, what is their name and relation to you?

Julia C. Black Memorial Scholarship Speech Contest Application
(All applications must be submitted no later than December 30, 2025.)