Interview Fact Sheet
Single Space Only. Please use commas and semi-colons to separate when possible, so formatting is contained on one page. DO NOT COPY AND PASTE from another document into the text fields! You can save this form and share the link with a mentor/parent/friend for review before submission.
Name
*
Hometown or Current City
*
example: Spokane, WA
Instagram
example: @missspokaneorg
Facebook
example: missspokane
TikTok
example: @missspokanewa
Age
*
Current Employment or Schooling
*
0/30
Scholastic/Career Ambition
*
0/30
Community Service Initiative (CSI)
*
Title of CSI only
0/25
Performance Talent or HERStory Description
*
0/25
Accomplishments
*
0/50
Interesting Facts
*
0/50
Describe your personal health initiatives and alignment with #MissAmericaFit.
*
0/50
What social issue, other than your CSI, will have the greatest impact on your generation, and why?
*
0/50
Name three items on your "bucket list" in the next five years.
*
0/50
Contestant Email
*
example@example.com
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