BGC 10 APPLICATION: 20th Annual Miss Teen Promise Female Preparatory & Scholarship Program

Registration Form

To register for the 20th Annual Miss Teen Promise Female Preparatory & Scholarship program, please answer the following questions to the best of your ability.

To complete the application process, applicants must complete the Application Checklist at the end of this registration form.

Question Title

* 1. What is your name, mailing address, phone number and age?

First Name:

Last Name:

Address:

City:

Zip Code:

County:

Phone Number:

Age:

Birth Date:

Name of BGC Club:

Length of BGC Membership:

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* 2. What is the name of your parents/guardian?

Mother's Name:

Father's Name:

Guardian's Name:

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* 3. What is your email address and parents/guardian email address?

Applicant's Email:

Parent's Email:

Guardian's Email:

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* 4. What is your Miss Teen Promise age category?

6-8 Little Miss

9-11 Princess

12-14 Jr. Teen

15-17 Miss Teen

18-25 Lady Ms

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* 5. What school do you attend?

Name of School:

Grade:

Grade Point Average:

What is your favorite subject in school?

What is your least favorite subject in school?

Who is your favorite teacher and why?

Question Title

* 6. Which race/ethnicity best describes you?

White

Black or African-American

American Indian or Alaskan Native

Asian

Native Hawaiian or other Pacific Islander

Hispanic or Latino

Some other race (please specify)

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* 7. What is your talent ability?

Dancer

Monologue/Spoken Word

Play Instrument

Singer

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* 8. Tell us about some gift items that should be in your Miss Teen Promise Hidden Gift Treasure Chest?

My T-shirt Size:

My Dress Size:

My Formal Dress Size:

My Shoe Size:

My Pant Size:

My Technology Gift wish:

My Jewelry Gift wish:

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* 9. What do you know for sure?

If I were a jewel, I would be a:

My three favorite colors are:

My favorite food is:

My favorite exercise is:

The best thing about me is:

If I could write a book about my life, the title would be:

My favorite song is:

My favorite thing to do is:

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* 10. I certify that my answers are true and complete to the best of my knowledge. I have my parents/guardians permission to submit this application.

I will complete the Application Checklist by emailing my photo to info@missteenpromise.com by June 17, 2017; Mailing a copy of my transcript/report card and $10 Application Processing Fee made payable to Teen Promise, Inc., P.O. Box 192441, Little Rock, AR 72219 by June 24, 2017.

I will email participant photo, transcript/report card and pay my Application Processing Fee Now: Pay Application Fee Now

Applicant's Name:

Registration Code (BGC NAME):