Miss Black Rocket City Scholarship Pageant

Miss Black Rocket City Scholarship Pageant

2026 REGISTRATION
General Information:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Date of Birth
Social Media Handles
Parent(s) Name
Educational Information:
School
Grade/ Classification
Major/ GPA
List any memberships/affiliations
Awards/ Achievements
List 3 adjectives you would use to describe yourself
Future Goals and Aspirations

Community Service Information
What would be your community service platform?
How do you feel your community service platform will affect our city?
PAGEANT DATE: June 19,2026
- After you sumbit your application please send a recent headshot (it does not have to be professional) to info@missblackrocketcity.com.
- Once ALL documents are received, the MBRC Recruitment team will review them and you will be contacted by email rearding your acceptance.
- A $200 contestant sponsorship fee is required to particpate in the pageant. All monies are due before June 1st and can be paid in whole or in installments. Please check the FAQ page on the website for details on fundraising. If you want to participate and need assistance please let us know! ALL FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE
- We will host a welcome Zoom meeting before the first workshop.
- There are three workshops that we host to prepare contestants for the pageant. TENTATIVELY May 17, May 31, and June 14. (All Sunday afternoons)
- For questions contact Keisha Hammonds, Founding Director, (256) 277-1424

NO PRIOR EXPERIENCE IS NECESSARY!

By signing this application, I attest that the above information is accurate and true.
Signature
Should be Empty: