Your name as you would like it listed
Email:
Phone Number
Title you are apply for
(state or regional)
Contact Information
(ie, mailing address)
How did you come to be selected?
I won a country pageant
Directed by:
I am applying directly
25 delegates will recieve SMILE Make-overs at our next event. This is a prize value of $15,000. Are you interested in a SMILE make-over?
Yes, I am interested, please send me information
(a photo of your smile will be requested)
No, I am not interested in a smile.
Height
Hair Color
Eye Color
Date of Birth (month / day / year)
Your occupation or career
Your status:
Married
Separated
Divorced
Single over the age of 28 (Ms.)
Country of Citizenship
Tell us about your immediate family
Your education or special training
Languages
Your best asset
Your hobbies or sports
(note, if you do not have any, please put N/A)
Your special talents in dance, music or other (note, if you do not have any, please put N/A)
List your pageant experience, including any former titles.
Do you have modeling experience. If yes, please list the experience.
Are you currently under any agency contracts or representing a specific product? If yes, please explain.
Tell us one unique thing about you, your family or your life or your country.
Your Personal Philosophy
Why do you want to be involved in the Mrs. Globe pageant?
This pageant is a fundraiser for the Women In Need Foundation, a non-profit outreach for abused women and children. You will be a national spokeswoman for W.I.N. Based on this, why are you interested in this pageant and what is your connection to W.I.N.?
I do not know about WIN
As the representative from your country, you you will represent our country at Mrs. Globe 2007. Tell us one thing you would share to the world about the your country?
Anything else you would like us to know about you.
Please submit a recent headshot. Note, when sending the headshot, in the subject, please state, "Headshot of (your name)"
Email Headshot HERE
Please submit a recent swimsuit shot. Note, when sending the body shot, in the subject, please state, "Swimsuit Shot of (your name)"This can be a non-formal swimsuit shot.
Email Swimsuit Shot HERE
I agree to all of the above items.
Insert official Signature
If you experience any difficulty with this system, please email us directly your information here