DOMINICA’S National Carnival Queen Pageant

Dominica's National Carnival Queen Pageant

CONTESTANT APPLICATION FORM
Contestant's Name
Contestant's Email Address
example@example.com
Contestant's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Contestant's Full Name

First NameMiddle NameLast Name
Address

Street Address

Village

CityCurrent Parish
Parish of Orgin
Which part of Dominica did you Orginally live in
Date of Birth

MonthDayYear
Date
Place of Birth
Location of Birth
Name of Parents/Guardians
Portrait Photo

Photo must show your face visible without anything covering it. No Filter photos
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Are you single and childless?
Have you been convicted of a criminal offence?
Are you Employed
If Yes, Name of Employer
Employer's Email Address
example@example.com
Last School Attended (Secondary/College/University)
What Language(s) do you speak?
Have you participated in any other beauty pageant?
If yes, what is the name and when and where did it occur?
Did you obtain any title?
If yes, what is the name of the title?
What is your Life Ambitions
What are your hobbies
Do you have any talents? (Describe)
Measurement
Height
Bust
Waist
Hips
Weight
Hair Color
Eye Color
Shoe Size
Dress Size
Why do you want to particpate in this pageant
The following must be submitted:
- Passport Size photo
- Valid Police record
- A portfolio to include pictures
- A biography of yourself
- Academic achievements and Qualification
- Police Record
(Please provide certified copies of all certificates)

Police Records and Certified certificates can be submitted at a later date.
The Following must be submitted:

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Provide at least one Reference
Reference Contact
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Dominica's National Carnival Queen Pageant

Measurement