Cotillion Application Form 2026-2027

Thank you for your interest in the 2027 Cotillion Season.

Welcome to "A Renaissance of Becoming: Honoring Her Voice, Power, and Purpose." Our cotillion is a culminating program presented by the NAACP Staten Island Branch. Young ladies participating in the cotillion program will have the outstanding opportunity to experience a wide array of cultural, academic, and social and civics activities. Upon completion of debutante training, she will participate in a cotillion ball along with her escort on July 3, 2027. This formal presentation of young ladies to society offers debutantes and escorts a meaningful experience that will remain in their hearts and minds for years to come.

All potential Debutantes and Escorts must meet the following requirements:

Be a current high school junior or senior.
Must have a min. G.P.A. of 2.5 for consideration.
Be under 19 years old at the time of the 2027 Cotillion Ball.
Provide two (2) letters of recommendation from a teacher/school administrator, employer, community leader, etc. Family members are NOT allowed to provide a letter of recommendation.
Provide an updated resume.
Provide an essay that will detail how YOU think this cotillion experience could change your life.
Commit to participating in all cotillion service learning projects, activities, and training in Staten Island, NY.
All applicants must submit a non-refundable $50.00 application fee.
Please upload a current photo of yourself to complete your application.
Reside in Staten Island, NY

*Please pay your $50 application fee using the following link:

https://www.zeffy.com/en-US/ticketing/staten-island-naacp-cotillion

If you have issues paying your application fee, please email us at naacpsicotillion@gmail.com. The nonrefundable participation fee is $250 for debutantes and $150 for escorts. The participation fee covers all materials and resources needed for the educational workshops, service activities, and debutante activities. The participation fee is due at the October orientation meeting.

If you have any questions, feel free to contact us directly at naacpsicotillion@gmail.com

Your Name

First NameLast Name

Prefered Name

Prefered Pronouns

He/Him/His; She/Her/Hers; They/Them/

Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Please indicate the role for which you are applying:

Grade as of Fall 2027

Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of High School

Email Address

example@example.com

Current G.P.A.?

What College/University/Trade School do you want to attend?

Do you have the time to commit to a program that will run from November 2026 to July 2027, with most activities happening on weekends and (some) week day?

Attendance to all programs/activities is mandatory, only two excused absences will be allowed. I understand that I can be dismissed from the program for not complying with the attendance policy

Have you been involved in any criminal incidents at school or in the community?

Please submit your photo or headshot

Please submit your most current high school transcript

If yes, please explain the incident/circumstances

Please submit your 1st Letter of Recommendation

Please submit your 2nd Letter of Recommendation

Please submit 2027 Cotillion Essay

Essay Prompt: How do you think participating in the cotillion program change your life?

Parent/Guardian Name

First NameLast Name

Parent/Guardian Email

example@example.com

Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Cell Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Do your parent/guardian reside with you or do they have a different place of residence?

Debutante/Escort Application