I am applying to be a contestant in:
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Name
First Name
Last Name
Email
Confirm Email
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Phone
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(###)
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Best phone number to reach you at
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(###)
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Birthday
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MM
DD
YYYY
Address
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City
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State
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Zip Code
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Occuptation
School
Guardian's Name
First Name
Last Name
Guardian's Email Address
Guardian's Phone Number
(###)
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If someone referred you, please list their name.
How did you find out about the pageant?
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Select any that apply and if other, please let us know.
I represent and warrant that I am a female (recognized medically and legally as a female in the United States):
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Teens Only: I am single, have never been married:
Teens Only: I do not have a child and have not given birth to a child:
I am a United States citizen:
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At least one of the statements below is true:
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(1) I have been or I will be a resident of the state of Indiana for at least ninety (90) days prior to the state pageant. OR
(2) I have resided in Indiana as a full-time student at a school, college or university for one full semester, trimester, or summer session immediately prior to the state pageant, and still enrolled as a full-time student at a school, college or university and will continue to reside in Indiana (although I may spend the summer in another state).
(3) I work at least forty (40) hours per week in Indiana, qualify for employment benefits provided by my employer, and have maintained such full-time employment for a period of at least ninety (90) days prior to the date of the State Pageant.
I meet the age requirements for this year’s pageant:
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Hobbies/Interests
Only use space and commas to separate words; do not hit enter or the return button.
Name
First Name
Last Name
My friends qualifies for the:
Hello,
Thank you for being so interested in the Indiana USA Pageant. Official recruitment will start soon. For official announcements, please make sure to follow the official accounts on Instagram:
@empower2prod
And on Facebook:
Again, thank you for completing the interest form; someone from our team will contact you soon. Make sure to look for an email from hello.indianausa@gmail.com.
Empowering Thoughts,
The Team at Indiana USA
