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Mrs. New York America 2018
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Email
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Your email
DATE
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MM
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DD
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YYYY
FULL NAME
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Your answer
HOME ADDRESS – CITY-STATE-ZIP CODE
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Your answer
HOME PHONE
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Your answer
MOBILE
Your answer
AGE
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Your answer
DATE OF BIRTH
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MM
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DD
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YYYY
BIRTHPLACE
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Your answer
U.S. CITIZEN
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Yes
No
HEIGHT
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Your answer
WEIGHT
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Your answer
EYE COLOR
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Your answer
HAIR COLOR
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Your answer
BUST-WAIST-HIPS
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Your answer
SHOE
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Your answer
DRESS
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Your answer
SWIMSUIT SZ
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Your answer
MARRIAGE (Month/Day/Year)
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MM
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DD
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YYYY
OCCUPATION & ADDRESS OF EMPLOYER
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Your answer
HUSBANDS NAME
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Your answer
CHILDREN’S NAMES & DATE(S) OF BIRTH
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Your answer
NAME & LOCATION OF SECONDARY SCHOOL
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Your answer
NAME & LOCATION OF COLLEGE, UNIVERSITY OR OTHER
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Your answer
LEVEL REACHED & DEGREE(S)
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Your answer
DESCRIBE CURRENT & RECENT COMMUNITY INVOLVEMENT
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Your answer
HOBBIES, TALENTS & GENERAL BACKGROUND
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Your answer
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