F5 D2: Media/PR MAO Questionnaire-2018

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Title: *

Title: without the word Miss

First Name: *

Contestants First Name and Middle name (Only if you have confirmed with CJ you will use your Middle name)

Last Name: *

Contestants Last Name

Hometown: *

Talent *

Talent (Type: vocial, dance, piano, etc; If Dance put the type of dance)

Music Name: *

Talent music selection name:

Music emailed *

I confirm I have sent my talent selection music by email to: missarmusic@gmail.com ?

Yes

Platform *

Platform (place the name as you wish it to appear in the program book)

Contact? *

What is the best way to contact you?

Cell Phone

both

Cell Phone *

What is your Cell Phone number: Your number not a parent or guardain. Type your number like this example: (xxx)-xxx-xxxx

Email address *

What is your primary email addess: (place the email address you will check regularly from May - September. )

Scholastic Ambition? *

Scholastic Honors? *

Non-Academic Accomplishment ? *

What is your Greatest Non-Academic Accomplishment ?

Cash ScholarshipTotal *

Cash Scholarships' Total? List below the total amount of cash scholarships won last year?

Overall Cash Scholarships' Total? *

2016 Overall Cash Scholarships' Total? List below the total amount of cash scholarships won since you began competing, including 2016:

In-kind Scholarships' Total? *

2016 in-kind Scholarships'- Total ONLY SCHOLARSHIP? List below the total amount of cash scholarships won in 2016? In-Kind is something you receive but not in cash. Example: A college gives you a scholarship but it is not in cash.

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