2020 YMBP Contestant Application
Thank you for your interest in becoming a 2020 YMBP Contestant!

Participation will be limited to 20 contestants. ALL questions MUST be answered to be considered for an applicant interview. Contestants will be notified if accepted into the program.

In addition to this application, please email a photocopy of your most recent Report Card to ymbp.info@gmail.com by Friday, February 14, 2020.

It can also be mailed to:
YMBP, Inc.
795 E. Delavan Avenue,
Buffalo, New York 14215.
PERSONAL INFORMATION
Name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Address *
Your answer
City/Town *
Your answer
State *
Your answer
Zipe Code *
Your answer
Home Phone Number
Your answer
Applicant's Cell Phone *
Your answer
FAMILY INFORMATION
Mother/Guardian's Name *
Your answer
Mother/Guardian's Phone Number *
Your answer
Mother/Guardian's Email *
Your answer
Father/Guardian's Name *
Your answer
Father/Guardian's Phone Number *
Your answer
Father/Guardian's Email *
Your answer
SCHOOL INFORMATION
Elementary School Name *
Your answer
Elementary School Graduation Year *
Your answer
Elementary School Honors and Activities *
Your answer
High School Name
Your answer
High School Graduation Year
Your answer
High School Honors and Activities
Your answer
OTHER INFORMATION
Any other accomplishments and honors *
Your answer
Career Ambition and Why? *
Your answer
Hobbies and Interests *
Your answer
Favorite Color & Why? *
Your answer
Favorite Food *
Your answer
Favorite Music Artist/Group *
Your answer
Favorite Movie *
Your answer
SOCIAL MEDIA INFORMATION
SnapChat Account
Your answer
Twitter Account
Your answer
Instagram Account
Your answer
Facebook Account
Your answer
EMPLOYMENT/VOLUNTEER INFORMATION
Employment Experience
Your answer
Internship Experience
Your answer
Community Service Affiliation and Activities
Your answer
MEDICAL AND DIETARY INFORMATION
Please list any dietary restrictions (i.e. religious, allergies, vegetarian):
Your answer
Please list any special medical, physical or educational needs, medical conditions, or allergies the board and committee should be aware of:
Your answer
PAGEANT/TALENT INFORMATION
What issue would you like to focus on if you are selected as Young Miss Buffalo 2020? This should be something you are passionate about. *
Your answer
What type of talent will you perform in the pageant? *
Your answer
Do you have any performing arts training?
If so, What?
Your answer
Please list all information that medical providers, staff and chaperones may need to know for the proper care of your child in case of an emergency:
Asthma - Inhaler:
Your answer
Allergies - List:
Your answer
Seizures - Explain:
Your answer
Diabetes Insulin Type:
Your answer
Heart Murmur:
Your answer
Other Conditions (Be specific):
Your answer
Medications Being Taken:
Your answer
APPLICANT INTERVIEWS
As we receive applications, we will be scheduling applicant interviews in March. Please share which interview date/time is most convenient for you? *
LET US KNOW
How did you hear about us?
APPLICANT/PARENT SIGNATURES
Fill in your name and your Parent/Guardian's name as a proof of both signatures. By signing below, you are aware of the schedule and time commitment and have not falsified any information shared above.
Applicant's Signature (please type your name below): *
Your answer
Parent/Guardian's Signature (please type your name below): *
Your answer
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