Miss Pheasant Country Scholarship Program (Fact Sheet)

Miss South Dakota Local Pageant Fact Sheet
This fact sheet will be used by the judges during your Interview. Please type.
Contestant Name:
Date of Birth:
Parents Names and occupations:
Names and ages of brothers and sisters:
Contestant Photo
Name of High School and Date of Graduation:
Name of College:
College Major:
College Minor:
Years Attended:
Class this coming Sept:
Graduate School:
Career Ambition:
Scholastic Honors received in H.S. and college:
List Other Accomplishments:
Employment Experience:
Type of talent you will present and the name of the piece?
List any special training in music, drama, theater, dance, art, etc.:
List other interesting facts about yourself and/or hobbies:
Degree Sought:
Miss South Dakota Local Pageant Fact Sheet
What is your ambition for the future?
If you are the winner of this competition, what issue would you advocate at the Miss SD Pageant?
Give complete name of other Local or State Pageant titles awarded to you and the date received.
Contestants Signature__________________________________________________________________
I certify that the above information is true and correct to the best of my knowledge.