Miss Auburn’s Teen Application

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First name *

Last name *

Date of Birth *

YYYY

Current Age*

must be 14 by state competition and no older than 18 at State Competition.

Email *

Cell Phone *

Address *

City *

Zip code *

Parent/Guardian name (first, last) *

Parent/Guardian Cell Phone Number

Parent/Guardian Email

Parent/Guardian address *

Select the eligibility option that best applies to you - I have lived in Washington state for at least 120 days prior to the competition date. I have worked full time in WA state for at least 120 days prior to Competiton date. I am enrolled as a full-time student at an accredited college or university located within the State by the first day of the Local competition, February 8, 2025. *

High School Attended and Year of Graduation

College Attended: Major and Year of Graduation

Employer (if applicable)

Name of high school *

What year will you graduate?

Name of college/university you are attending

What are your current educational goals? *

Are you currently working? *

Yes

Number of hours working per week

Part-time (less than 40 hours per week)

Full-time (40 or more hours per week)

Clear selection

Will employer allow you to take time off for rehearsals? *

Yes

What is your planned talent presentation (you will be required to provide a sample of your talent): *

What is your planned community service platform: Social Impact Statement *

Have you previously participated in other Miss America programs? *

Yes

If yes, list other local pageants you have participated in.

I have registered with State*

Before submitting this application ensure you have registered with Miss America, if you have run in another program and submitted the fee you do not need to pay again, you are covered for the competition year.

Yes

Media and Photo Release * *

I give permission to be photographed and/or videotaped by MASO in conjunction with all activities associated with the Miss Auburn Scholarship Organization. These photos may be used on the MASO website, social media sites, newspapers, and/or other official printed publications.

I DO NOT give permission to be photographed and/or videotaped by MASO in conjunction with all activities associated with the Miss Auburn Scholarship Organization. These photos may be used on the MASO website, social media sites, newspapers, and/or other official printed publications. 2

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