You can always press Enter⏎ to continue
2025 MBIA APPLICATION
Hi there, please fill out and submit this form.
28
Questions
START
Language
English (US)
French (France)
Español
1
IMPORTANT!
*
This field is required.
Acknowledgment : By filling out this online form/application, you hereby submit all the following information for publicity and review purposes. You acknowledge that your information will become the property of The Miss Black International Pageant. You agree to a non-refundable $50 application fee.(Black Friday Special) Please fill out all the information correctly, and truthfully. False applications will be thrown out and you will forfeit the opportunity to compete
Please Select
Agreed
Please Select
Please Select
Agreed
Previous
Next
Submit
Submit
Press
Enter
2
TEEN REQUIREMENTS
*
This field is required.
To qualify to be the next Miss Black TEEN International Ambassador, you must be between the ages of 14 - 18 by July 1st 2025 ;Be a naturally-born female. Must not be married, never have been married, and never have had a marriage annulled. Must never have given birth to a child, cannot be pregnant or be a parent. Have a current GPA or graduated with a minimum GPA of 2.5 Be of "Black" African Descent. Meet residency requirements for competing in a certain town, stat.e, region, or Country. Must have been born in, currently live in, go to school in, work in, or receive mail in location. (Must prove) Meet character criteria as set forth by the Miss Black International Ambassador Program. Be in reasonably good health to meet the job requirements. Be able to meet the time commitment and job responsibilities as set forth by the international program
Please Select
Understood
Doesn't Apply
Please Select
Please Select
Understood
Doesn't Apply
Previous
Next
Submit
Submit
Press
Enter
3
MISS REQUIREMENTS
*
This field is required.
To qualify to be the next Miss Black International Ambassador, you must: Be between the ages of 19 and 29 by July 1st 2025. Be a naturally born female. Must not be married, never have been married, and never have had a marriage annulled. Must never have given birth to a child, cannot be pregnant or be a parent.Be of "Black" African Descent. Meet residency requirements for competing in a certain town, state, region, or Country. Must have been born in, currently live in, go to school in, work in or receive mail in location. (Must prove) Meet character criteria as set forth by the Miss Black International Ambassador Program. Be in reasonably good health to meet the job requirements.Be able to meet the time commitment and job responsibilities as set forth by international program.
Please Select
Understood
Doesnt Apply
Please Select
Please Select
Understood
Doesnt Apply
Previous
Next
Submit
Submit
Press
Enter
4
MS REQUIREMENTS
*
This field is required.
To qualify to be the next Ms. Black International Ambassador, you must:If parent, divorced, or widowed, must be between the ages of 19-60 by June 1st 2025. If none of the above, must be between the ages of 30-60 by July 1st 2025. Be a naturally born female. Must not be married. Being a parent is ok.Be of "Black" African DescentMeet residency requirements for competing in a certain town, state, region, or Country. Must have been born in, currently live in, go to school in, work in or receive mail in location. (Must prove) Meet character criteria as set forth by the Miss Black International Ambassador Program. Be in reasonably good health to meet the job requirements.Be able to meet the time commitment and job responsibilities as set forth by the international program.
Please Select
Understood
Doesn't Apply
Please Select
Please Select
Understood
Doesn't Apply
Previous
Next
Submit
Submit
Press
Enter
5
MRS REQUIREMENTS
*
This field is required.
To qualify to be the next Mrs. Black International Ambassador, you must: Be between the ages of 21-60 by July 1st 2025. Be a naturally born female. Must be legally married. (MUST PROVIDE PROOF)Being a parent is NOT REQUIRED.Be of "Black" African DescentMeet residency requirements for competing in a certain town, state, region, or Country. Must have been born in, currently live in, go to school in, work in or receive mail in location. (Must prove)Meet character criteria as set forth by the Miss Black International Ambassador Program Be in reasonably good health to meet the job requirements. Be able to meet the time commitment and job responsibilities as set forth by the international program
Please Select
Understood
Doesn't Apply
Please Select
Please Select
Understood
Doesn't Apply
Previous
Next
Submit
Submit
Press
Enter
6
Name
*
This field is required.
Miss
Ms
Mrs
Miss
Miss
Ms
Mrs
Prefix
First Name
Middle Name
Last Name
Previous
Next
Submit
Submit
Press
Enter
7
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Submit
Press
Enter
8
Address
*
This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
United States
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Previous
Next
Submit
Submit
Press
Enter
9
Phone Number
*
This field is required.
Area Code
Phone Number
Previous
Next
Submit
Submit
Press
Enter
10
Date of Birth
*
This field is required.
-
Date
Month
Day
Year
Previous
Next
Submit
Submit
Press
Enter
11
If Minor (under 18yrs of age) Please list parental/guardian full name
*
This field is required.
N/A if doesn't apply
Previous
Next
Submit
Submit
Press
Enter
12
If a minor, please list parental/guardian email
*
This field is required.
N/A if doesn't apply
Previous
Next
Submit
Submit
Press
Enter
13
If a minor, please list parental/guardian phone number/whatsapp number
*
This field is required.
N/A if doesn't apply
Previous
Next
Submit
Submit
Press
Enter
14
Are you legally married? (Separation counts as married. Widows can choose Ms or Mrs if desired) N/A if doesn't apply
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
15
Do you have any children (by birth or adoption)N/A if doesn't apply?
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
16
School or Career Paths (If in school, put grade/level and where you attend school. If in the workforce, put the industry where you where and how long)
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
17
What division are you applying to?
*
This field is required.
Teen (14-18 years old), Miss (19-29 with no children and not married), Ms. (30-50 with no children and not married; 19-50 if previously married or have children), Mrs. (21-60 married or widowed, can or can not have children)
Teen (14-18 years old)
Miss (19-29 with no children and not married)
Ms. (30-50 with no children and not married; 19-50 if previously married or have children)
Mrs. (21-60 married or widowed, can or can not have children)
Previous
Next
Submit
Submit
Press
Enter
18
Which State, Region or Country are you applying for that you meet residency requirements for?
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
19
What are your other choices of State, Region or Country if that title is not available? (pick up to 4)
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
20
Do you have a valid passport to travel?
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
21
If not living in the US, do you have a visa to travel ? If you have neither are you able to obtain a visa and passport no later than 4/1/2025? Please state below
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
22
How did you hear about MBIA
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
23
Please list the person who recruited/invited you!
*
This field is required.
N/A if doesn't apply
Previous
Next
Submit
Submit
Press
Enter
24
What are all of your social media handles?
*
This field is required.
Facebook, IG, Linkedin, Snap chat, Twitter (X) , youtube, etc.
Previous
Next
Submit
Submit
Press
Enter
25
Please upload a clear and professional headshot, your application will not be accepted without it.
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Submit
Press
Enter
26
Signature
*
This field is required.
I submit this application and all attachments to the Miss Black International Ambassador Pageant. All answers and information submitted are true and to my knowledge correct. I understand if any false information or information not completed as stated is submitted my application will be voided.
Powered by
Jotform Sign
Clear
Previous
Next
Submit
Submit
Press
Enter
27
Application Fee
*
This field is required.
This non-refundable application fee is collected at the time of applying. Submitting this application fee does not guarantee you a title. All applications are screened by our screen committee and all decisions are final.
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
50.00
USD
Application Fee
This non-refundable application fee is collected at the time of applying. Submitting this application fee does not guarantee you a title. All applications are screened by our screen committee and all decisions are final.
$
50.00
+
Edit
Back
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Previous
Next
Submit
Submit
Press
Enter
28
Please verify that you are human
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
Should be Empty:
2025 MBIA APPLICATION
[Edit]
Question Label
1
of
28
See All
Go Back
Submit
Submit