| MISS TEEN PROMISE APPLICATION FORM |
| PDF FILE PRINTING DIRECTIONS: To print off the PDF Application please make sure your Adobe Reader program is open and then click on the PDF file and you will then be able to read it and print it off from Adobe Reader. However if you do not have the Adobe Reader program you may print this application page, type or print neatly your information and mail it in with attachments. Applications e-mailed will not be accepted. Applications without all attachments and/or lacking information will not be processed.
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| MISS TEEN PROMISE APPLICATION FORM |
| CATEGORIES: Check One Only PROGRAM: Check One Only
Little Miss Division (Age 6- 8)____ Central Arkansas ____
Princess Division (Age 9 - 11) ____ SEARK-Southeast AR ____
Jr. Teen Division (Age 12 - 15) ____
Miss Division (Age 16 - 18) ____
Lady Ms Teen Promise (Age 19 - 40) ____
SECTION A: (PLEASE TYPE or PRINT NEATLY)
Name __________________________________Age______________
Address__________________________________________________
City _________________________________ Zip_________________
County ____________________ Telephone #___________________
School __________________________________________________
Grade _____________________ Grade Point__________________
Birthdate ________________Social Security #_________________
Email:___________________________________________________
Parents Name:____________________________________________
Talent Ability & Description: (Vocal/Dance/Instrumental/Monologue/Spoken Word/Other)
________________________________________________________
T-Shirt Size:______________
SECTION B:
Do you plan to attend a 4-year Arkansas University/College?
YES_____ or NO ______
If you answered NO, what are your plans after high school graduation? _____________________________________________
II. BIOGRAPHICAL DESCRIPTION:
Please attach a one (1) Page double-spaced typed biographical description of you
and your achievements and community involvement using only the following categories:
1. Who Am I? (Describe who you are and not how others describe you)
2. Community Service and/or Hobbies
3. School Club Memberships and/or Church Activities
4. Leadership Ability and Achievements
5. Academic Achievements
SECTION C:
I do commit that all of the information submitted is true to the best of my knowledge.
I have read the guidelines of the program and do agree to abide by all rules and regulations.
_________________________________________
Applicant Signature / Date
My child is under the age of 18. I hereby grant
permission for my child to participate.
__________________________________________
Signature of Parent/Guardian / Date
__________________________________________
Telephone Number (Day) (Evening)
Mail application with attachments to:
TEEN PROMISE INC.
Miss Teen Promise Scholarship Competition
P.O. Box 192802
Little Rock, AR 72219
SOUTHEAST ARKANSAS ENTRIES mail to:
SEARK Teen Promise Inc.
P.O. Box 192802
Little Rock, AR 72219
For more information email or call:
info@missteenpromise.com
(501) 353-0009
CHECKLIST: Have you enclosed?
1. Application and ALL attchments (i.e., last report card
or official transcript)
2. 1-Page Biographical Description
3. Picture (4x6 or 5x7)
4. $20 Application Processing Fee
5. If You Need Help Paying Your Sponsorship Submit A Request:
Sponsorship Scholarship $50 Request
-or-
Sister-Friend $60 Sponsorship Request
*Applications with blanks left unfilled will not be reviewed. All sections MUST BE COMPLETED!
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