Department of Michigan Veterans of Foreign Wars
School Release Form
2015 - 2016


In the event that your student ___________________________________ is selected as a District (First Place Winner) and entered into the 2015-2016 Department of Michigan Voice of Democracy or Patriots Pen Programs to be held at the Mid-Winter Conference. Department awards will be presented at the 2016 Department of Michigan Mid-Winter Conference. We are requesting that the above name student be excused from all school/sport activities on Friday January 22, 2016 and January 23, 2016 without penalty. This signed release is to confirm a mutual understanding between the school and the student, parents or legal guardian, on attending the Department of Michigan Voice of Democracy or Patriots Pen Programs.


All District winners are expected to be present. Each District must assume the cost of their winner's transportation, meals and lodging. Department will provide each District winner one banquet ticket. Banquet tickets for family members and other guests are the sole responsibility of the District in cooperation with the sponsoring Post.


Activities in at the Mid-Winter Conference will be planned for Friday January 22, 2016


Date: __________ Print _______________________________________________________________________

                           School Principal
                           

                           Signature __________________________________________________________________

                           School Principal


Date: __________Print _________________________________________________________________________
                           Student


                           Signature____________________________________________________________________
                           Student


Date: __________Print _________________________________________________________________________
                           Parent or Legal Guardian


                           Signature ___________________________________________________________________
                           Parent or Legal Guardian





Yours in Comradeship


Sherwood H. Pea Jr.
Department Director VOD Program
3213 Clement St.
Flint, MI 48504
(c) 810-309-6427
vod@vfwmi.org





VFW District Chairperson, please attach release form along with other mandatory materials to Department Director Sherwood H. Pea Jr. 3213 Clement Street Flint MI. 48504.

STUDENT BIOGRAPHICAL QUESTIONNAIRE 
2015 - 2016 
YOUTH ESSAY COMPETITION 
VETERANS OF FOREIGN WARS OF THE UNITED STATES 







 

Voice of Democracy: ______ Patriot’s Pen: ______ (check one) 

 VFW POST # _________ VFW DISTRICT # ________ 

 THIS FORM MUST BE COMPLETED BY THE FIRST PLACE POST WINNER. 
PLEASE TYPE OR PRINT THE ANSWERS TO ALL QUESTIONS LISTED BELOW. 

First Name: ______________________ MI: ______ Last Name: ____________________________________ 

Street Address: ________________________________________ Apt: _______ PO Box: ________________ 

City: ______________________ State: _______________ Zip Code: ______________ 

Home Phone: (____) ________________ Fax Number: (____) _____________Email: _____________________ 

Birth Date: ________________ (MM/DD/YYYY) Sex: ______ Age: ______ Grade in School: _________ 

Name of School: _____________________________________________________________________________ 

School Address: ____________________________________ City: _________________ Zip Code: ___________ 

School Phone Number: (____) _____________________ 

Father’s Name: _____________________________________ Work Phone: (____) _________________________ 

Mother’s Name: ____________________________________ Work Phone: (____) _________________________ 

Father’s Occupation : ___________________________ Mother’s Occupation: _____________________________ 

First name you want on name badge or jacket: _________________________ 

Jacket Size: (circle one) S M L XL XXL 

What college, university or vocational school do you hope to attend? _____________________________________ 

What career do you plan to pursue? ________________________________________________________________ 

What school offices have you held? ________________________________________________________________ 

List awards / achievements: ______________________________________________________________________ 

_________________________________________________________________________/ /Continued on reverse 


Lawrence A. Sims Post 2269
Veterans of Foreign Wars and

Veterans of Foreign Wars Auxiliary

Wixom, Michigan 48393


List names and addresses of your local newspaper(s), radio and TV station(s): ______________________ 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

Other information of interest: ____________________________________________________________ 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

_____________________________________________________________________________________ 

If you are selected as the state winner, which airport will you use for your flight to Washington, D.C. for 
the National Finals? (We will use this information when we arrange your nonrefundable airline ticket.) 

Airport: _________________________City:______________________State:______________________ 

Are you taking any special medication? ____________________________________________________ 

____________________________________________________________________________________ 

Name of your Doctor: __________________________________ Phone: (____) ____________________ 

Medical Insurance carrier: ______________________________ Medical ID Number: _______________ 

Do you have any special or specific dietary needs? ____________________________________________ 

_____________________________________________________________________________________ 

Print the name of your United States Congressman/woman & his/her Congressional District Number: 

Name: ___________________________________ District: ________________ State: _______________ 

 

 

 

Please Note: 

The student biographical questionnaire is only required form the District first place winner. Use of this form at the entry level competition is optional and clearly not a requirement for participation. However, all district winners should be asked to complete this questionnaire before they submit their cassette 
tape/CD, typed essay, entry form, parent release form, and photograph into the Department’s final competition. This helps expedite the processing of the Department winner to the National competition. 

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