COUNTRY: __________________________________________________
NAME: __________________________________________________
1. Name you prefer to be called for publicity:
_____________________________________________________________________________________________________
(First Name) (Last Name)
2. Address:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
3. Birth Date (MM/DD/YYYY): ___________________________________________ Age on January 1, 2016: ____________
4. Phone: ( ) _____________________________________________________________________________________
5. Email: ____________________________________________________________________________________________
6(a). Language(s) spoken fluently (please include your native language):
_____________________________________________________________________________________________________
6(b). I will need an interpreter because I am not comfortable speaking English. Yes/No
7. What are your interests and what do you enjoy doing the most?
____________________________________________________________________________________________________
_____________________________________________________________________________________________________
8. List any special training you have had (music, art, drama, dance, etc.):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
9. What is your proudest accomplishment (other than representing your country in this pageant)?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
10. What is your career ambition?
_____________________________________________________________________________________________________
11. Are you a student? _____ If yes, where? ________________________________________________________________
12. Are you currently employed? _____ If yes, what is your occupation? __________________________________________
13. What do you want the judges to know about you?
_____________________________________________________________________________________________________
MEASUREMENTS
(For use by the wardrobe department)
Height: _______________ meter
Weight: _______________ kilograms
Chest: _______________ inches
Waist: _______________ inches
Hip: _______________ inches
Clothes Size: S/M/L/XL
Swimwear Size: S/M/L/XL
Shoes Size: ________
THE WARDROBE DEPARTMENT WOULD APPRECIATE RECEIVING THIS INFORMATION AS SOON AS POSSIBLE