Established 1898 MADISON ELKS LODGE #410 711 Jenifer Street Madison, V/I 53703 Phone: 608-255-1644 20r4 WISCONSII{ ELKS ASSOCIATIOT{ U.S. Constitution Exam Ifosted by Madison Elks Lodge #410 Contestant must be a U.S. Citizen and a senior in high school within the jurisdiction Madison Elks Lodge #410. Foreign exchange students, unless U.S. Citizens, are not eligible to participate in the contest. Eligibility: of Basis of Examination: Answers to all questions shall be found within the Constitution. The test will consist of 40 multiple choice questions, with essay questions used only as tiebreakers. Sample Question: In 1789 how were U.S. Senators chosen? a) b) c) d) The The The The people in each state people in each state or the state legislature in the state. States could choose. state legislature in each state. state senate in each state. Madison Lodge #410 Prtze Amount: Place Award 1rt $500* znd ard $300 $200 ., * The First Place winner will then proceed to State Competition to compete for additional State awarded amounts ranging from $500-$2625 plus the Lodge prize. Location: Madison Elks Lodge #4'/,0 711 Jennifer Street Madison, WI 53703 Date/Time: Saturday, January 18th, 2014 9:00am to 12:00pm The exam only takes t hour so if you cannot be there at 9:00, anytime before 11:00 is valid. Need to be done by 12:00 noon. Contact: Kristi Barbian - contact Kristi with any questions perelli@sbcglob al.net 608-334-6419 * The 2014 U.S. Constitution Contest Rules and Regulations will be strictly enforced. Student is allowed to take 20L4 U.S. Constitution exam only once. ** Students MUST bring High School Student Identification to exam location. Please type or print WISCONSIN ELKS ASSOCIATION Iegibly. Our ability to contact you is important. U.S. CONSTITUTION CONTEST 2014 REGISTRATION FORM COI{TESTANT NAM EMAIL ADDRESS TELEPHONE (including area code) ADDRESS (city, state, zip) PARENTS OR GUARDIAN NAMES DATE AND PLACE OF BIRTH HIGH-SCHOOL AIfENDING ARE YOU A CITIZEN OF THE UNITED STATES? YES NO (CIRCLE ONE) DOYOUAGREETOABIDEBYTHERULESOFTHECONTEST? YES NO STATE ALL ACTIVITIES ENGAGED IN, BOTH IN AND OUT OF SCHOOL, DURING YOUR FOUR YEARS OF (USE BACK IF NEEDED) HIGH SCHOOL. WHAT ARE YOUR PLANS TO CONTINUE YOUR EDUCATION AFTER HIGH SCHOOL? SIGNATURE OF STUDENT fa t I I I r ! trr ra rr I r rrrl I tt a r ra!I I IaaIIr a I I l allltf! I r I ! LODGE CERTIFICATION NAME AND NUMBER OF ELKS LODGE I CERTIFY THAT THE ABOVE NAMED ENTRANT IS THE WINNER OF OUR LOCAL LODGE CONTEST AND IS ELIGIBLE TO COMPETE IN THE STATE CONTEST. CONTEST CHAIRMAN OR EXALTED RULER MAIL. FAX. OR EMAIL TO: PRINT NAME Kristi Barbian Madison Elks Lodge f1410 7l I Jenifer St. Madison WI 53703 608-255-1644, ext. 101 608-334-6-119 - Cell E4 1 0 fg,;sbc gl ob al.net DUE BY JANUARY L7,20L4 ADDRESS CITY ZIP TELEPHONE EMAIL THE STATE CONTEST WILL BE CONDUCTED AT YOUR REGIONAL SITE AT 11:00 AM ON SUNDAY March 30,2014