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Miss World Rose Application
(ages 7 & up)

Please type or print neatly. Application must be completed in English.
Please be honest.

Name__________________________________________________________
Address________________________________________________________
_______________________________________________________________
E-mail__________________________________________________________
Age (as of June 20th, 2008)___________________  Birthdate_______________
How did you hear about this pageant?_________________________________

Country you wish to represent_______________________________________
If you are a resident or citizen of more than one country, or if you are at least 25% a certain nationality, you may list that country as your 2nd choice for an additional $15
If you do not win a title in your first choice country you may compete in your 2nd choice's competition.
2nd choice country________________________________________________

60% of your score will be based on how you answer the following interview questions.
Please attach another sheet with your answers to the following questions.

1. What goals would you like to accomplish in the next year?
2. What goals would you like to accomplish in the next 5 years?
3. What is the best lesson you have learned in your lifetime?
4. What 3 words best describe you?
5. If you could have any job, what would it be, why?
6. What is the greatest thing you have accomplished in your life?
7. What is the most important thing you hope to accomplish in your lifetime?
8. What person do you admire most, why?

9. Why do you want to win the title Miss World Rose?
10. If you win, what do you plan to do with your title?

40% of your score will be based on one of the following areas of competition.
Which area do you wish to compete in? Only one optional competition is required and is included in the basic entry fee. If you wish to enter an additional optional, you may do so for an additional $10, but only your highest scoring optional will be added to your final score.

____Talent - If your talent is some sort of performing (singing, dancing, acting), please send a cassette tape or VHS videotape. If you have a talent such as drawing, sewing, photography, etc. you may send photos of your talent. Please send a brief essay telling us about your talent and what you have accomplished.

____Lifetime Accomplishments - Please send a list or essay telling us what you have accomplished in your lifetime. This may have to do with a career, volunteer work, awards you have won, etc. You may also attach copies of any certificates or other supporting documentation.

_____Photogenics - Please send 1-4 photos of yourself taken within the last 2 years.


I swear that all information is true and correct to the best of my knowledge
I certify that I am of good moral character.
I promise to respect any title I may be awarded and represent this pageant system with pride.
I have read and understand all information.
I understand that I will not be awarded any cash prizes unless I submit a photo of myself in my crown and banner within 45 days of receiving my prizes..
I understand there will be no refunds of entry fees.
I understand that any misrepresentation of myself may result in the loss of any title I am awarded.

________________________________  _________________________________     
            (contestant's signature)                    (signature of parent if contestant is a minor)    
_____________
(date)

I have submitted:
_____$60 entry fee.
_____$15 to have my prizes shipped outside the U.S.A.
_____$15 to be considered for the title of a second country.
_____$10 to enter additional optional competition.
(Entries may be paid through PayPal.com link on the Miss World Rose information page - miss@americanrose.com account)

ALL FEES MUST BE SUBMITTED IN U.S. FUNDS MADE PAYABLE TO "MISS AMERICAN ROSE"
ENTRIES MUST BE RECEIVED BY JUNE 20th, 2008
SEND TO: MISS AMERICAN ROSE, 19689 7th Ave. NE, PMB 323, POULSBO, WA 98370
, U.S.A.

Copyright © 1998 - 2007 by American Rose Pageants. All rights reserved.
Revised: Friday, 16 May 2008 09:01 PM -0700