York County Scholarship Pageants, Inc.
TEEN & MISS CONTESTANT INFORMATION
Please complete & return the info below ~
We accept applications on a first come first serve basis.
Final Application Deadline - December 14, 2014
Dear Interested Applicant:
The
York
County
Scholarship
Organization,
Inc.
announces.......The
search
is
on
for
the
2015
representatives! You are invited to participate in the Miss York County/Miss Susquehanna Valley/Miss White Rose City
Scholarship Pageant (for contestants 17-24) & Teen (ages 12-17) Titles of the same name to be held Saturday, January
10, 2015. Our Miss America preliminary pageant will be held at the Four Points Sheraton, in York, Pennsylvania. The
winners will represent York County at the Miss Pennsylvania Pageants. Last year, scholarships and awards totaling over
$10,000 were awarded to our representatives and the 2013 season promises to be even more rewarding.
Important dates:

December 28, 2014: “GET TO KNOW THE PROGRAM”, AN INFORMAL DAY FOR
CONTESTANTS TO PARTICIPATE IN PAGEANT PREPARATION, 2-5 P.M.

Pageant Walking

Talent Performance

December 14, 2014: FINAL DEADLINE FOR APPLICATIONS AND ALL FORMS & PICS

January 10, 2015: Pageant events - (Teen pageant @ 4 p.m., Miss pageant @ 7:30 p.m.) at the Four
Points by Sheraton, located at 1650 Toronita Street, York, PA 17402.
Mandatory Meeting: (Details to be announced) with New Titleholders the next day – January 11th (Sunday)
To reserve your space and join our list of contestants,
please email your photograph and TYPED FACT SHEET NOW.
Email to ~ yorkcountypageants@gmail.com
MISS COVER PAGE
York County Scholarship Pageants, Inc.
Full Name:
(As you wish it listed in Program Book)
Contestant For: _______ Miss York County- Miss (Closed)*
_______ York County – Teen (Open)
_______ Miss Susquehanna Val/White Rose (Open) _______ Susque Val/White Rose Teen (Open)
Note:
*Miss York County – Miss is a closed pageant to Adams, Lancaster, York, Cumberland & Dauphin Counties)
Social Security Number:
Age: ________
(Please attach copy of birth certificate)
(As of first preliminary competition in Local Pageant)
Date of
Birth:
Home Address:
City
State:
Home Phone
Number:
Zip:
Cell Phone
Number:
Address While in
School:
E-Mail Address
Are you a citizen of the
United States?
Are you a female and
Born a female?
Contestants must be single and never been married.
Media Release
I give permission to Miss York County Scholarship Organization, Inc. to use my photographs and any videos taken of me for any
and all purposes as a contestant of the York County Scholarship Organization. It may be used in publications, programs and media
and I understand that it is not always possible to receive photo credit.
Name of Contestant______________________________________________________________ Date _____________
York County Scholarship Pageants, Inc.
Below are listed important forms and documents to be completed. If you are not able to attend the
Get to Know Program, please email all completed forms no later than December 14, 2014.
Mandatory items:
______ Cover Page - May be written
______ Fact Sheet – MUST BE TYPED
______ Contestant Accident Release/Medical Release Information
______ Copy of Birth Certificate/Photo ID
______ Sponsor Information/Program Advertisements
______ Children’s Miracle Network Sponsor - $100 CMN (Miss only)
______ $100 Participation Fee (Teen only) - Non-refundable
______ Talent Registration /Introduction
______ Email headshot photograph to yorkcountypageants@gmail.com
______ Pageant Patron Form
Talent:
______ CD – no longer than 90 seconds – MUST BE A CD (Cassette Tapes will not be accepted)
(Must have music on or before December 14, 2014.)
A Note About Your Platform Statement On The Application
Please indicate the critical issue and platform statement you will speak about if you are our representative.
This “Platform” is the “Cause” you will champion and advocate during your year of service to the Miss
America Organization.
Here’s an example – If your critical issues is HIV, your platform statement might be: As Miss _____, I will
advocate educating teenagers about the increase in HIV among a specified group.
Your essay should be typed (10-12 font) on a sheet of white paper as follows:
Title of Platform
Submitted by (Your Name)
An Essay in block form