Angel Wings World Pageant

Name:

Address:

Phone Number:

Division: (Young Miss, Teen Miss, Miss, Ms., Mrs., or Mr.)

Top 3 Countries & State/City you wish to represent (in order of favorite)

• Country: ___________ (State/City) 1.                             2.                             3.                           

• Country: ___________ (State/City) 1.                             2.                             3.                           

• Country: ___________ (State/City) 1.                             2.                             3.                  

Example: Country:       United States             (State/City) 1. New York             2. Florida             3.Hawaii

Example: Country:       Australia                     (State/City) 1. Canberra             2. Sydney            3.Melbourne

Age:  (As of 01/01/2015)                              

Date of birth:       

Marital Status:

Education (Schools):

Scholastic Honors:

Career (Employment):

Career Ambition:

Special Awards, Recognition or Hobbies:

Family:

Other interesting facts about yourself:

Community Service: 

What goals are you striving to achieve now or in the future:

Tell us one thing that is unique about yourself: 

Tell us why you are passionate about your community service work:

 

I certify that the foregoing information is true and correct to the best of my knowledge.

 

Delegate  Signature   _____________________________     Date __________________________

 

Mail in your 1) Application; 2) 250 word essay on “What beauty means to you” (Can be a drawing for young children); 3) Charitable work data (IE: Pictures, news articles, letters of recommendation, etc); and 4) Check for $125.00 made out to the

Angels Pageant of Florida.

 

Mail everything to Angel Wings World Pageant, Att: Pageant Director Lisa Vanderperre-Hirsch, 5160 Rosewood Lane, Vero Beach, FL 32966.