Application of Interest
Please confirm you meet the eligibility requirements as listed here: https://www.missamerica.org/signup/
Full Name
*
First Name
Last Name
Phone Number
*
E-mail
*
Age (Teen 13-17; Miss 18-28)
*
Current Age
DOB (mm/dd/yyyy)
Eligibility (must live, work, or attend school full time in Lane County)
*
Live
Work
School
Other: neighboring county with no local competition (Lincoln or Deschutes)
Unsure
Where do you currently reside?
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
School
Current or most recent
High School Graduation Year
Talent/HERstory
You can change this later
Social Impact Initiative (CSI)
This is the topic/issue you will be advocating for during your yea of service and should be something you are passionate about.
Have you competed in a pageant before?
Yes
No
It's complicated...
How did you hear about us?
Comments:
Submit
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