Contestant # (For office use only): __________

 

 

 

OFFICIAL APPLICATION

(if you require more space please attach type-written pages with the information for the corresponding category)

 

Name: ___________________________________Phone number: _____________________

Address:___________________________________________________________________

City/Town: __________________________________Postal Code:_____________________

Date of Birth: _________________Age: _______ Email:______________________________

Grade level: ________ Current Academic Average: _________

School:____________________________________________________________________

Career or life ambition: ________________________________________________________

Honors and Awards:

 

 

 

 

 

 

Community Involvement and Volunteer Work:

 

 

 

 

 

 

Extracurricular activities: