Mrs. New York America 2018
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DATE *
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FULL NAME *
HOME ADDRESS – CITY-STATE-ZIP CODE   *
HOME PHONE *
MOBILE
AGE   *
DATE OF BIRTH             *
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BIRTHPLACE *
U.S. CITIZEN *
HEIGHT *
WEIGHT *
EYE COLOR *
HAIR COLOR *
BUST-WAIST-HIPS *
SHOE *
DRESS *
SWIMSUIT SZ *
MARRIAGE (Month/Day/Year)   *
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DD
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YYYY
OCCUPATION & ADDRESS OF EMPLOYER *
HUSBANDS NAME *
CHILDREN’S NAMES & DATE(S) OF BIRTH *
NAME & LOCATION OF SECONDARY SCHOOL *
NAME & LOCATION OF COLLEGE, UNIVERSITY OR OTHER *
LEVEL REACHED & DEGREE(S) *
DESCRIBE CURRENT & RECENT COMMUNITY INVOLVEMENT *
HOBBIES, TALENTS & GENERAL BACKGROUND *
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