EmailMeForm
Miss Shaw University Pageant Application
Name
*
First
MI
Last
Suffix
Campus Phone Number
*
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Student ID #
*
Campus Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Home Phone Number
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University Email
*
Please use @bears.shawu.edu email account.
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
GPA
*
Major
*
Minor
Pageant Experience
1
2
3
4
Please list previous pageant experience
Honors, Awards and Scholarships
1
2
3
4
5
6
7
8
Please list honors, scholarships and awards
Campus/Community Activities
Organization, Membership, Extracurricular
Position (s) Held (if none type N/A)
1
2
3
4
5
List three words that describe you and why
1
2
3
References
Name
Title
Phone Number
1
2
3
Agreement
*
I have read and understand the requirements for competition in the Miss Shaw University Pageant. I agree that all information is truthful and agree to comply with all requirements and regulations.
Electronic Signature
*
Please type full name, this will serve as your electronic signature.
