MISS STAR IMAGE PAGEANT APPLICATION

MISS STAR IMAGE 2021 RUNWAY COMPETITION

MODEL PROFILE FORM
DATE *
Enter two digit month and two digit date.
SELECT THE AGE GROUP YOU ARE COMPETING IN: Contestants must be the required age for their age division for the year (example: Miss Star Image Tween division ages 11-13 contestant is 13 but will turn 14 before or after the competition must compete in the Teen Division 14-18). *

Tween 11-13 Teen 14-18
Name *

First Name Last Name
Date of Birth *
Parent / Guardian Name (Father)

First Name Last Name
Parent / Guardian Name (Mother) *

First Name Last Name
Parent Email Address *
example@example.com
Contestants Email Address *
example@example.com
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parents Phone Number *

Area Code Phone Number
Contestants Phone Number *

Area Code Phone Number
How did you hear about us? *
What school do you attend? *
Do you have any prior modeling experience? If so, tell us about it.
Model Stats (type your: height, weight, bust, waist ,hips, dress, shoe, hair and eye color) *
List how many tattoos, if any, and where on body are they located? *
Do you have any other talents?

Singing Dancing Spoken word
Do you like to travel?

What time are we boarding? Occasionally Not at all
Will your family and friends support your participation?

For sure! I'm not really sure No at all
Do you like to have your picture taken?

Say Cheese! Somewhat No at all
Could you see yourself as the spokesperson for Star Image youth and young adult empowerment programs?

Where's the mic? Maybe N-n-never that
What social or community issue would you like to see changed? What would you do to change it? *
Do you currently or have you ever been a volunteer? If so, where? *
Are you comfortable in front of crowds?

For sure! I get some butterflies Not at all
Do you attend a church?
If so, Church Name and Pastor.
Upload a current photo of yourself. Full body or headshot. No group photos or selfies. *

Browse Files

Cancel of
Upload your runway walk. If you are having trouble uploading your video here; email your video to iMays@starimage.org *

Browse Files

Cancel of
What social media sights are you currently on? *

FaceBook Instagram Tik Tok
Next Step!

Thank you for completing the Miss Star Image Runway Competition Profile Form. You will be contacted soon to schedule your prescreening interview. A parent(s) must attend with you. We can't wait to meet you!
What day would be best for your Zoom prescreening interview? (Although we cannot promise we will try to accommodate you). Please download the Zoom App prior to the start of your interview. *

Month Day Year
Date
Time *

: Hour Minutes AM/PM Option
Should be Empty:

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MISS STAR IMAGE 2021 RUNWAY COMPETITION