Debutante Ball Application

Debutante Ball Application

Complete your details, academic and activity information, and submit required parent/guardian and statement acknowledgements.
Applicant Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Application Type
Escort/Partner's Name (if applicable)

First NameLast Name
Academic Information
Current School/Institution
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade/Year
Academic Achievements or Honors
Parent and Guardian Information
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Are you currently enrolled or participating in other extracurricular activities? (e.g., sports, clubs, etc.)
Extracurricular Activities: If yes, please list your activities and their weekly time commitments below: Include Activities & Hours:
Are you currently working?
Work Experience (if any): If yes, please list your employer and your weekly time commitments below. Try to be as precise as possible, but we understand that this might be a fluid situation
STATEMENT GUIDE

Please share with us a few comments/paragraphs on your favorite Scripture, inspirational expression or poem.
Guiding Principles
- Word Count: Your response must be between 150 and 200 words. Note: Excessively shor or long response are discouraged
- Formatting: your statement must be typed, doubled-spaced, using a standard 12-point font (e.g., Times New Roman or Helvetica).
- Content: Please be sure to communicate your thoughts clearly and concisely. Feel free to share any personal touches that you would like for us to know the passages you chopose applies to you.
- Attachement: Please print your final statement on a seperate blank white sheet of paper and attach it directly behind this instruction page. Please place your name on each submitted page-use the top, right corner.
Personal Statement
SUBMISSION CHECKLIST
- Completed and signed Application Form
- Official academic transcript sealed by your institution and included in this packet or sent independently
- Personal Statement
- Non-refundable application fee payment, cash or check made payable to:
  1. Shiloh Baptist Church (Debutante Ball should be written in the memo)
    ·       Senior Debutants - $50.00
    ·       Junior Debutants - $25.00
    ·       Escorts - $25.00
THE SHILOH BAPTIST CHURCH ANNUAL DEBUTANTE BALL
Official Application for Participation
1. Standards of Behavior
Participants in the Debutante Ball program are expected to maintain the highest standards of personal conduct, academic integrity, and civic morality. By signing below, the applicant commits to demonstrating respect, punctuality, and cooperation during all rehearsals, workshops, and official program activities.

2. Attendance & Rehearsal Policy
Attendance at all scheduled workshops, leadership seminars, etiquette classes, and formal rehearsals is strictly mandatory. Missing more than three (3) unexcused sessions will result in immediate disqualification from the program, forfeiture of all paid fees, and exclusion from the final presentation. All absences will be evaluated on a case-by-case basis.

3. Media, Photo, and Liability Release
By participating, the applicant and their parent/guardian grant the committee the absolute right and permission to copyright, publish, and use photographic portraits, pictures, or videos of the applicant for promotional, educational, or historical purposes. Furthermore, the committee, staff, and venue shall be held harmless from any liability, injury, or loss sustained during program activities.

Binding Signatures & Acknowledgment
I hereby certify that all information provided in this application package is accurate and complete. I have read, understood, and agree to strictly abide by the Attendance Policy and Media Release outlined above.
Applicant Signature
Type a question
Date of Signature

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Debutante Ball Application

Applicant Information

Academic Information

Parent and Guardian Information