Become a Miss Candidate
We are thrilled that you would like to become a member of our Class of 2024. As an official local Preliminary to the Miss Washington program, we are excited to help you on your journey through the Miss America Organization. Completing the form below does not obligate you in any way to participate in our program.
Name
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First Name
Last Name
Birth Date
*
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Month
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Day
Year
Date
Current Age
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone
*
Please enter a valid phone number.
Select the eligibility option that best applies to you
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I have lived in Washington state for at least 6 months prior to the competition date
I have worked full time in Washington state for at least 6 months prior to competition date
I have been enrolled full time as a student in Washington state for at least 6 months prior to the competition date
Employer (if applicable)
College Attended: Major and Year of Graduation
High School Attended and Year of Graduation
*
Honors and Achievements (academic, career, etc.)
Competition Talent (dance, vocal, piano, etc. If unsure write "unsure"
*
Social Impact Initiative (if decided)
How did you hear about our program?
*
Social Media / Facebook / Instagram
Scholarship Fair
Search Engine
Friend / Relative previously ran in Miss America
I previously competed in a Miss America local
Other
Parent/ Guardian Full Name
*
First Name
Last Name
Parent / Guardian Email
*
example@example.com
Media and Photo Release
I give permission to be photographed and/or videotaped by MPCSP in conjunction with all activities associated with the Miss Pierce County Scholarship program. These photos may be used on the MPSCP website, social media sites, newspapers, and/or other official printed publications.
I DO NOT give permission to be photographed and/or videotaped by MPSCP in conjunction with all activities associates with the Miss Pierce County Scholarship Program
I hereby certify that this application is true and correct to the best of my knowledge. Should I decide to participate in the Miss Pierce County Scholarship Program I will meet the expectations as they are given to me.
Signature
Date
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Month
-
Day
Year
Date
Please verify that you are human
*
Submit
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