Candidate Application Form
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
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Connecticut
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District of Columbia
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Hawaii
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State
Zip Code
Date of Birth
*
/
Month
/
Day
Year
Date
Ethnic Background
*
Filipino
Chinese
Vietnamese
Japanese
Korean
Thai
Indian
Hmong
Other
Applying to compete for:
*
Please Select
Miss Asia of Michigan
Mrs Asia of Michigan
Bio:
*
In 150 words or less, tell us about yourself.
Personal Advocacy:
*
examples- cultural diversity, women in S.T.E.M., environmental reasons, etc.
What is your talent:
*
There will be a talent portion of the competition, please inform us of your talent.
Upload a headshot image to be used in event program
*
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(or submit to aslobodian17@gmail.com)
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Signature
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Pageant Application Fee
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125.00
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