EmailMe Form - Official U.S Plus World State Director Application

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date of Birth *

MM / DD / YYYY

Must be at least 21 years of Age

Email *

Phone *

### - ### - ####

Please give details about your experience, if any, with pageantry. *

If none, simply type 'None' in the required field.

State(s) of interest *

Directors are limited to 2 states and they must reside in or between those states.

Resume *

Professional Head Shot *

Declare Convictions

All prior felony convictions must be declared and application must be approved by the Executive Director of the Miss U.S Plus World pageant. Failure to do so will result in immediate removal and affiliation with the Miss U.S Plus World Organization and loss of any Paid Fees ect.

If you have never been convicted of a felony, simply type 'None' in the required field

I understand that the deadline for payment of all franchise fees is due on or before the date of your official Contract signing unless otherwise stated by the Executive Director of the Miss U.S Plus World Pageant or official representation. *

Yes

I understand that there is a $25 none refundable application fee that must be paid in order to be considered for the position. It is due within 72 hours of the application. You will be emailed an invoice upon receipt of your application. *

Yes