2023 AGG Debutante Cotillion Application

Debutante Cotillion Application
Applicant's Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Preferred E-mail*
example@example.com
Applicant's High School*
Applicant's School Email*
example@example.com
Class of 2023Class of 2024
Applicant's Unweighted GPA*
Guidance Counselor's Name*
High School Phone Number*
Applicant's Primary Phone Number*
Format: (000) 000-0000.
Applicant's Alternate Phone Number
Format: (000) 000-0000.
GuardianGrandparent(s)Both Parents in homeSingle Parent
Parent(s)/Guardian(s) Information
Parent/Guardian Name 1*

First NameLast Name
Parent/Guardian Phone Number 1*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email 1*
example@example.com
Parent/Guardian Address 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Name 2

First NameLast Name
Parent/Guardian Phone Number 2
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email 2
example@example.com
Parent/Guardian Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Emergency Contact's Name*

First NameLast Name
Emergency Contact's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Tell us more about you...
Candidate Essay: In 250 words or less, please explain why you would like to participate in the 2023 Debutante Program.*

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Debutante selection is based on your entire application, essay, interview, and grade point average.

The online application and non-refundable $50 application fee are due October 21, 2020 at 5:00PM. Late applications will not be considered. We will not accept more than 15 girls. Girls will be accepted on a rolling basis; therefore, early application is encouraged.

You will need to upload your transcript. You will also need to order your official/sealed transcript and be prepared to submit it when we request it.

If you have any questions about the application process, please email cltcotillion@agirlsgift.org.
Please list your extracurricular activities and their weekly time commitment.*
Please list all social media and handles for which you have an account (Facebook, Twitter, Instagram, Snapchat, TikTok). *
Additional Comments
Non-refundable Application Fee*
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Cotillion Application Fee
$50.00

Total

$0.00
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Debutante Cotillion Application

Parent(s)/Guardian(s) Information

Emergency Contact

Tell us more about you...