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Miss Washington Scholarship Organization
   
           
         
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Jammin with Jacquie
Congratulations on making your first step! 
Please fill in the blanks on the form below. This is not evaluated nor reviewed by judges. 
As this is simply an inquiry, we will be in touch with you to gather any additional
information that may be required.  Thank you for your interest!
 
Request an Appearance  
Local Programs
Your Name *
E-mail Address: *
Age *
Date of Birth *
Applying as *Miss (Age 17-24)
Teen (Age 13-17)
Current Address *
Permanent Address *
Daytime Phone *
Evening Phone *
High School Name
City, State
Year of Graduation
College
Years attended
Year of graduation
Class of
Graduate School
Years attended
Year of graduation
Class of
Declared major
Declared minor
Scholastic Honors
Scholastic Ambition
Career Ambition
What type of talent will you present? *
Special training in music, drama, etc.
Focus on during your year of service?
Community Service/Volunteer Activities
Fathers name
Fathers occupation
Mothers name
Mothers occupation
Interesting Facts About Yourself
Health and Fitness Interests
Hobbies

* Required



 
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