Miss Little Mountain & Miss Newberry County Pageants
951 Resting Place Point Chapin, SC 29036
803-920-0580 or 864-993-3356
TEEN FACT SHEET
FULL NAME:__________________________________________________________________
HOME TOWN:_________________________________________________________________
MAILING ADDRESS:___________________________________________________________
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SOCIAL SECURITY NUMBER: __________________________________________________
CONTACT NUMBER:___________________ E-MAIL ADDRESS:_______________________
AGE:______________ DATE OF BIRTH:_________________________________________
(AS OF SEPT. 30) (PLEASE PROVIDE COPY OF BIRTH CERTIFICATE)
EDUCATION:
HIGH SCHOOL: _____________________________________________________________
(NAME OF SCHOOL) (DATE YOU WILL GRADUATE)
CURRENT GRADE IN SCHOOL: __________________
**PLEASE PROVIDE TRANSCRIPT OF MORE RECENT SEMESTER**
I WILL BE IN THE ___________ GRADE IN THE FALL OF 2008.
WHERE WOULD YOU LIKE TO ATTEND COLLEGE: _____________________________
WHAT WOULD YOU LIKE TO MAJOR IN: ______________________________________
SCHOLASTIC HONORS: ____________________________________________________
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OTHER ACTIVITIES:________________________________________________________
________________________________________________________________________
OTHER ACCOMPLISHMENTS:________________________________________________
________________________________________________________________________
CAREER AMBITION: ________________________________________________________
FAVORITE QUOTE:_________________________________________________________
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WHAT TYPE OF TALENT WILL YOU PRESENT:__________________________________
SPECIAL TRAINING IN MUSIC, DANCE, ART, ETC:________________________________
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LIST THREE QUALITIES ABOUT YOURSELF THAT YOU MOST LIKE:
1. _____________________________________________________________________
2. _____________________________________________________________________
3. _____________________________________________________________________
EMPLOYMENT EXPERIENCE: _______________________________________________
_______________________________________________________________________
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FATHER’S NAME/OCCUPATION: ____________________________________________
MOTHER’S NAME/OCCUPATION: ____________________________________________
NAMES, AGES OF BROTHERS AND SISTERS: __________________________________
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PLEASE DESCRIBE THE MOST PRESSING PROBLEM FACING YOUR GENERATION:
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OTHER INTERESTING FACTS ABOUT YOURSELF: _______________________________
________________________________________________________________________
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The Miss South Carolina Organization encourages the young women who participate in the
program to become involved in their communities and to speak out on issues of concern to
them, their community and the nation. If selected, the winner of this competition, what issue
would you choose to focus on during your year of service?
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I, certify the foregoing information is true and correct to the best of my knowledge:
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