Dear Contestant,

We are so excited that you have chosen to participate in the Miss Duchesne County Pageant 2015. We are looking forward to working with you in preparation for this fun and exciting event. This year’s pageant will be held Friday, July 17th 2015 at 7:00 PM in the Duchesne High School Auditorium.

Included in this packet is a compilation of forms (A-E) that need to be filled out prior to your competing in the pageant. These forms need to be returned no later than July 6th.

Please pay special attention to the instructions for completing the platform Essay. The essay portion of the competition along with the Resume is extremely important, as it will be the basis of many of the interview questions asked to you by the judges during the competition. Please choose a platform that is an important issue to you. There will also be a scholarship awarded to the essay winner.

Also included in this packet are the talent information form, contestant contract, and medical information form. Please read each one carefully so you are fully aware of the criteria needed for this pageant.

We will have three workshops provided for you pertaining to the individual portions of the competition including interview, modeling, and opening number.

The crowned Miss Duchesne County Queen will be awarded a $1500.00 scholarship. Her royalty will be awarded as follows:1st Attendant- $750.00; 2nd Attendant- $500.00; 3rd Attendant- $250.00, Spirit of the pageant- $100.00 and Essay winner- $100.00.

We again are so excited to have the opportunity to work with you and look forward to getting to know you better. Please contact us with any questions or concerns. We truly want to help however we can.

Sincerely, Nancy Moon-Pageant Director738-2526/733-0447

Nikki Kielbasa-Pageant Committee733-0764nikkik@uvu.edu

Valerie McKee-Pageant Committee733-0456

Miss Duchesne County Pageant Itinerary

We strongly encourage each contestant to attend the workshops prior to the week of the pageant. They are designed to help you with the individual portions of the competition including Interview, On-stage Question, Modeling, and Talent. These dates and times are subject to change. The last three practices the week of the pageant will be mandatory. June 23rd

Time: 6:00 pmPlace: Duchesne High School Commons AreaAgenda: Discuss Paperwork/Answer Questions/Discuss Opening number apparel/ect.

June 30th

Time: 6:00 pmPlace: Duchesne High School LibraryAgenda: Pictures/Modeling Workshop/Start opening number

July 7th Time: 6:00 pmPlace: Duchesne High School Commons AreaAgenda: Interview workshop/Mock Interview/Opening number

July 13th- Opening Number/Talent Rehearsal(Optional/Not Manditory)July 14th- Staging/ Opening NumberJuly 15th- Rehearsal/Opening numberJuly 16th-Full Dress Rehearsal July 17th- Pageant Night

12:45- Luncheon for contestants and mothers 1:00- Interview portion of the competition 6:30- Arrive for pageant7:00- Miss Duchesne County Pageant (Starts ONTIME)

Contestant Paperwork Checklist

A. Platform Essay (1 Page Single Spaced)B. Contestant ResumeC. Talent information sheetD. Contestant ContractE. Medical Information Sheet

Pageant Night Wardrobe

Interview- (Business Professional, Jewelry, Shoes) Production Number (We will notify you when this is decided. There will be a

personal out of pocket purchase for these items). Talent- (Costume, Jewelry, Shoes) Evening Wear- (Competition gown, Jewelry, Heels)

A-Platform Essay

INSTRUCTIONS FOR TYPING THE PLATFORM ISSUE STATEMENTPlease remember, this is your opportunity to explain to the judges what your chosen platform is and why it is important for our community to embrace this platform. This ONE (1) page, single-spaced document combined with the Contestant’s Resume, will comprise your entire application for this job as Miss Duchesne County.

The judges will receive exactly what is submitted provided items are received on time. Any items that are submitted after the deadline may not be given to the judges. The contestant may explain the lack of judging materials and/or items not matching the criteria during her interview, if she so chooses.

1. Go to the word processing program of your computer.

2. Start a “new” document

3. Set margins for 1" on all four sides. The font style may not be any smaller than “10” and no larger than “12” point type using the Times New Roman font style.

4. With the justification set for left, type “Name:” in bold. Following the colon (:), hit the space bar twice. Then, type your name.

5. Double space down. Set your justification to “center”. They type in bold and underline the title of your Platform.

6. Double space down. Write what you feel is critical for the judge’s to know about your platform and why it is necessary for you to have the job of Miss America to promote this issue. What you write will be what the judges know about your platform, your role in successfully dealing with this issue, and the role the Miss America Organization may play in your plan.

7. This essay may include some of the following items (this is not to be meant as an exhaustive list):

A clear definition of the platform and the specific issues you wish to address A plan on how you have or will create awareness of the platform The way in which you have or will change attitudes regarding the issue The way in which you have or will change behaviors related to this issue Your media plans Your marketing strategy How you propose to fund your ideas/plans Any significant accomplishments you have made in regard to your issue

Name: Jane Doe

Celebrating Cultural Diversity and Inclusiveness

It is imperative that this nation face and embrace its cultural diversity. While many people have talked about this issue, I believe that most of them have only paid lip service to the true necessity of what needs to be addressed related to this issue. There is a false truth in merely accepting and tolerating cultural diversity. I intend to prove that in order to accept and understand people of other cultures; one must be willing to step out of a personal cultural comfort zone and identify the origin of their prejudice. I will specifically focus on three areas: Children, Communities, and Businesses.

The title of Miss America, combined with the national media already looking at the surface of this issue, will allow me to create the national awareness that must exist. Currently, the term “Cultural Diversity” is well known in the halls of institutions of higher learning and, perhaps, even in the public school classroom because of the need for some to be politically correct. But, in order for us to make a true change in attitudes and behaviors of Americans, we must move beyond talk and into action and policy changes.

My plan is to motivate the media and to partner with the National Conference for Community and Justice. This organization has chapters in every major city in the nation and, in many cases, those chapters have community leaders involved who can, with encouragement and challenging, bring this issue out of hiding and into the public light in each of those communities.

Obviously the media and the NCCJ already exist. However, what is lacking is a lightening rod to draw attention to this issue. This is where the Miss America Organization steps into the lead. What better role is there for Miss America than to be an agent of change in organizing our nation to accept our differences and to create an environment that values each person on individual characteristics rather than on stereotypes or assumptions?

For years, Miss America was seen as a young woman who cut ribbons and appeared in parades. It is time for “Miss America” to step out of the convertible and lead the parade. Our country’s ethnic make-up is changing rapidly and our citizen’s fear of terrorism can explode already existing, but deeply hidden prejudices. I want to be the leader that this nation needs.

This nation needs this issue addressed now and through the already existing NCCJ and its local and state organizations combined with the power of Miss America, we can make a concrete difference now, which will change the direction and the future of our nation.

__________________________Signature/Date

B- Contestant Resume

1INSTRUCTIONS FOR COMPLETING THE CONTESTANT’S RESUME

Please remember this is your opportunity to demonstrate to the judges why they should consider you for the job of Miss Duchesne. You may list as many or as few items under each category as you desire. Your only restriction is that it must follow the established format and it must fit on one page. This page, combined with the Platform Statement, will comprise your entire application for this job.

The judges will receive exactly what is submitted provided items are received on time. Any items that are submitted after the deadline may not be given to the judges. The contestant may explain the lack of judging materials and/or items not matching the criteria during her interview, if she so chooses.

1. Go to the word processing program of your computer.

2. Start a “new” document

3. Set margins for 1" on all four sides. The font style may not be any smaller than “10” and no larger than “12” point type, using the Times New Roman font style. Please refer to the attached sample to verify you are following the requested format.

4. With the justification set for left, type “Name:” in bold. Following the colon (:), hit the space bar twice. Then, type your name as you wish the judges to know it. (If your name is Linda Deborah Smith and you want to be known as “Deborah Smith”, please type “Deborah Smith).

5. Then, move to the next line and type “Hometown:” in bold. Following the colon (:), hit the space bar once. Then, type your hometown including the city and the state.

6. Move to the next line. Now set your justification to the right. Type “Date of Birth:” in bold. Hit the space bar two (2) times, and type the month, day, and year of your birth. (Ex. October 10, 1979)

7. Move Justification to the left. Double space down and type “Education:” in bold. Hit the tab bar three times and then type your most recent school first. If it is grad school, indicate it as such. List degree seeking (all on the same line as the name of the school), move to the line underneath that to list your undergraduate school and degree sought/achieved, and below that list your high school.

8. Double space down. Hit the tab bar once. Type “Platform Issue:” in bold. Hit the tab bar three times. Type the TITLE of your platform, MAKING SURE IT LINES UP WITH THE INFORMATION ABOVE IT. DO NOT TYPE ANYTHING OTHER THAN THE TITLE.

9. Double space down. Hit the tab bar once. Type “Scholastic/Career Ambition:” in bold. Hit the Tab bar once, MAKING SURE IT LINES UP WITH THE OTHERS ABOVE IT. Then type the type of degree/education you would ultimately like to achieve and beneath that, list your career ambition.

10. Double space down. Hit the tab bar once. Type “Talent:” in bold. Hit the tab bar three times. Type the type of talent and specific selection. MAKE SURE IT LINES UP WITH THE INFORMATION ABOVE IT. (i.e. Pop Vocal - “Crying”, Tap Dance - “Staying Alive”, etc.)

11. Double space down. Type “Scholastic Honors/ Leadership Roles:” in bold. Hit the space bar twice. Each item should be separated by a semi-colon (;).

12. Double space down. Type “Accomplishments:” in bold. Hit the space bar twice. Each item should be separated by a semi-colon (;).

13. Double space down. Type “Interesting Facts:” in bold. Hit the space bar twice. Each item should be separated by a semi-colon (;).

14. Double space down. Type “Employment:” in bold. Hit the space bar twice. Each item should be separated by a semi-colon (;).

15. Double space down. Type “How has the world you come from shaped your dreams and aspirations?:” in bold. Hit the space bar twice. In sentence form, explain how you would market your platform.

16. Double Space down. Type “Why I should be Miss Duchesne this year:” in bold. Hit the space bar twice. Explain to the judging panel why you should be selected Miss Duchesne and, more importantly, why you should be selected Miss Duchesne this year. Why is it critical for you to be Miss Duchesne right now?

The entire form MUST FIT ON ONE PAGE using the Times New Roman font style. You must leave a 1" margin on all four sides of the page

Use your best judgment on what is most important for the judges to know about you. Use your space wisely. Attached you will see an example of what it should look like. Any variations from this form will be returned to you once provided it is at least one week before the established deadline. Any document turned in late will not be accepted. If received on the deadline, materials may not be retyped. The judges will receive your original work.

This form will be given to the judges along with your platform statement. You will notice there is a REQUIRED SIGNATURE LINE at the bottom of the platform statement. When these two pages are put together, they will create your entire application. Your signature will cover the materials listed ON BOTH PAGES. Your signature verifies that everything on your forms is true and accurate. If it is proven that any information on these forms is not true, correct, and factual, you risk losing your local/state title.

Some spacing issues may arise. Simply follow the example provided.

EXAMPLE

Name: Jane DoeHometown: Anytown, America

Date of Birth: December 29, 1981

Education: University of State – sophomore – Bachelor of Science, Liberal ArtsFrederick Douglass High School

Platform Issue: Celebrating Cultural Diversity and Inclusiveness

Scholastic/Career Ambition: Obtain a Masters of Business Administration

Talent: Pop Vocal / “Fallen”

Scholastic Honors/Leadership Roles: Recipient of National Coca-Cola Scholarship; Recipient of the Metropolitan Urban League National Scholarship; Dean’s List; Member of the President’s Leadership Council at the UCF. Created and implemented a comprehensive Cultural Diversity Education Curriculum for grades K-12 in twelve Public Schools; University Student Body Senator; H.S. Sr. Class Pres.; College Sorority President.

Accomplishments: Recipient of the J.C. Penney Golden Rule Award for Outstanding Volunteer Service to Community; Recipient of the National Conference for Community and Justice Humanitarian Award; Performer, Grand Ole Opry in Nashville; Have completed two (2) marathons; Piano Performance scholarship at State University.

Interesting Facts: First person on either side of my family to attend college; Youngest of five children with a 13 year gap between me and my next oldest sister and an almost 20 year gap between the oldest and myself.

Employment: Internship with a Law Firm; Internship with local ABC television affiliate; Student Assistant at State University.

How has the world you come from shaped your dreams and aspirations?

Why I should be Miss Duchesne County 2015: The reality is that Miss America can have her greatest sphere of influence among our nation’s youth. By placing Miss America in the midst of our nation’s young people, we start the process of changing mindsets and, ultimately, changing the way in which they will treat one another in the future. The issues related to Celebrating Cultural Diversity and Inclusiveness are not just related to race, but also to religion, cultural differences, and sexism. There is no greater role for Miss America than to educate, empower, and embrace the issue of cultural diversity at this point in our nation’s history.

Name:Title:Hometown:

Date of Birth:

Education:

Platform Issue:

Scholastic/Career Ambition:

Talent:

Scholastic Honors/Leadership Roles:

Accomplishments:

Interesting Facts:

Employment:

How has the world you come from shaped your dreams and aspirations?

Why I should be Miss Duchesne County 2015?

C- Talent Information Sheet

1. Name_____________________________________

2. The following is a complete description of my talent act.

_______________________________________________________________

_______________________________________________________________3. The following is how I would like the MC to introduce my Talent.

_______________________________________________________________

_______________________________________________________________4. Full Title of music you will use for your talent:

_______________________________________________________________5. Accompaniment for talent act (circle one): None CD Accompaniment

If you plan to have CD accompaniment, provide commercial title of CD:

_______________________________________________________________

Performer’s name on label_________________________________________

Composer________________________ Publisher______________________6. I understand my talent presentation will be timed at no more than 90 seconds.

I have accurately timed my talent presentation at_____ minutes and ____ seconds.7. If you plan to do a reading, please give title of book, play, etc. you will use:

_______________________________________________________________

8. Will you be using any props for your talent? Yes No

If yes, please specify here: ______________________________________

_______________________ ____________Signature of Contestant Date

_______________________Printed Name

IF USING A CD FOR TALENT PLEASE BRING A COPY OF YOUR MUSIC TO THE FIRST PRACTICE

D- Contestant Contract

Application and Contract for Participation in the 2015 Miss Duchesne County Pageant

Contestant: _________________________

In seeking to participate in the competition, each Contestant must understand and accept the requirements of the program. This is including the rules for the contestants, along with the guidelines and limitations that will apply to her activities during her year of service if she is selected as Miss Duchesne County. In addition, each Contestant much understand and accept that the Miss Duchesne County Committee must approve of the Contestants participation in the competition and, if selected, service as Miss Duchesne County will be specifically based upon the representation and agreements in this Contract, it’s attachments, and the continued compliance with all the regulations of the program. In such regard, I acknowledge that if selected, as Miss Duchesne County, my reign shall be subject to review during my year of service if there is a change in my eligibility status.

By signing this Contract and submitting it to the Miss Duchesne County Committee for approval, the Contestant represents and agrees that:

1. All facts and representation contained in this Contract and its attachments are true and accurate.

2. The Contestant agrees to abide by all rules and regulations of the Miss Duchesne County Committee described in the Contract and its attachments in the period before and during the year of service.

3. The Contestant meets each requirement for eligibility set forth in the Contract.4. The Miss Duchesne County Committee shall have the sole discretion to determine

whether, in its judgment, the Contestant may continue to participate in the Miss Duchesne County Competition; in the event that the Miss Duchesne County Committee determines that any statement or representation by the Contestant is not true and accurate or that any action by the Contestant is inconsistent with the rules and regulations of the Program.

Eligibility Requirements:

1. Age. I am currently ____ years of age. I was born on __________________, 19___. I understand that, in order to be eligible to compete, I must (1) have been at least seventeen (17) years of age on June 1, 2015 and (2) be no older that twenty-four (24) years of age on June 1, 2015.

2. Citizenship. I am a citizen of the United States of America.3. Personal Characteristics. I understand that in order to be eligible to compete in

the Miss Duchesne County Competition, I hereby certify to the Personal Characteristics set forth in this section:

a. Gender. I am and I have always been a female.

b. Marital Status. I am not now and I have never been married.c. Parental Status. I am not now pregnant, and I have never been

pregnant. I am not the adoptive parent of any child.d. Good Character. I am of good moral character.e. Criminal Record. Other than minor or petty offenses, I have never

been convicted of any criminal offense and there are no criminal charges presently pending against me.

f. Prior Conduct. I have never performed any act or engaged in any activity or employment that is or could reasonably be characterized as dishonest, immoral, or indecent.

g. Health. I am in good health and can, to the best of my knowledge, participate fully and without limitations in and Program activities.

h. Substance Abuse. I do not use or consume any illegal controlled dangerous substances or abuse the use of alcohol or other dangerous substances.

Changes in Circumstances. I understand and agree that if at any time after I file this Contract with the Miss Duchesne County Committee, including during my year of service, any of the facts stated in this Contract or its attachments should change I have the obligation to report any such changes immediately to the Miss Duchesne County Committee. I also understand that if I fail to do so the Miss Duchesne County Committee may, in its sole discretion, determine to limit or prevent my participation or to terminate my year of service.

Conduct of the Competition. I understand and agree that the Miss Duchesne

County Committee shall determine the manner and method of conducting the competition in its sole discretion. I further understand and agree that the Miss Duchesne County Committee shall also determine the time, method, and manner of judging the competition and the awarding and supervision of all scholarships in its sole discretion. The decision of the persons designated by the Miss Duchesne County Committee to judge the various events in any and all matters pertaining to the selection of the winners shall be final in all respects.

Selection as Runner-up. If I am selected as a runner-up for the title of Miss Duchesne County, I agree to remain available to assume all of the rights, obligations, and commitments of the Year of Service as described in this contract in the event that the Miss Duchesne County Committee appoints me to do so by reason of the inability or ineligibility, of any Contestant who was selected as Miss Duchesne County. If I am selected as Miss Duchesne County I will serve during the Year of Service and until my successor is selected or appointed. The duties and obligations of my service as Miss Duchesne County have been described to me and I understand and accept them. I agree that I will dedicate my time, efforts, and energy during my Year of Service to the fulfillment of these duties and obligations.

Development of Platform. I understand and agree that an important element of the program is the development of a central theme or platform, which can positively impact my community. I agree to work with the Miss Duchesne County Committee to select and pursue an appropriate platform that will enable me and the Miss Duchene County Committee to maximize the impact of my Year of Service.

Scholarship Awards. I understand and agree that if I am selected as Miss Duchesne County or as a runner-up, the scholarship awarded to me will not be paid to the school of my choice until I have completed my Year of Service and until my successor is selected or appointed. I also understand and agree that if my eligibility status changes or if I do not fulfill my duties and obligations during my Year of Service I may at the discretion of the Miss Duchesne County Organization, forfeit my title and any scholarship awarded me at the competition.

Prior Contractual Commitments. Within the three (3) months before my participation in the competition, I have not authorized any person, firm, or corporation to use my name, photograph, or present or future title that I hold or may hold in connection with an endorsement to advertise any commercial product. I am not a party to any contract with any person, firm, or corporation in respect to any present title that I hold or may hold nor have I made any commitments for the future regarding any such titles. I do not have any legal obligations that would prevent or limit my participation and appearances in the Miss Duchesne County Competition in the Year of Service, or my compliance with the rules, regulations, and conditions of the Program.

Other Competitions. If I win, I will continue to hold the title of Miss Duchesne County until my successor is selected or appointed. I agree that during my year of service in that role and until after the scheduled completion of the full term of the position of Miss Duchesne County for which I was selected, I will not associate in anyway with, promote, or become a contestant or participant in any other competition or preliminary competition of a similar nature unless it is approved by the Miss Duchesne County Committee.

I have read and understand the above Contract and submit that all facts and representations contained in this Contract and its attachments are true and accurate.

______________________________ __________________Signature of Contestant Date

______________________________Printed Name

______________________________ _________________Signature of Parent or Legal Guardian DateIf under the age of 18E- Medical Information Form

Contestant Information

Contestant’s Name________________________________________________________

Date of Birth_____________________________________________________________

Home Address___________________________________________________________

Phone Number: Home_______________________ Cell Phone____________________

Email Address___________________________________________________________

Emergency Contact Information

Name______________________________________________________

Address________________________________________________________________

Phone: Home____________________________ Cell____________________________

Medical Insurance Information

Medical Insurance Company________________________________________________

Policy Number___________________________________________________________

Name of Subscriber________________________________________________________

Subscribers Address_______________________________________________________

________________________________________________________________________

Relationship of Subscriber to you: ______Self _______Parent/Guardian

Family Physician__________________________________________________________

Physician Office Phone_____________________________________________________

Medication Allergies_______________________________________________________

PLEASE ATTACH A COPY OF YOUR INSURANCE CARDI certify the policy named above is now in force and will be maintained through

December 20___. I understand that contestants are responsible for all medical/dental expenses incurred during the time in which they participate in Miss Duchesne County

competition activities and that the Miss Duchesne County Organization will not be responsible for any such expenses. I certify that the above information is true and

accurate.

____________________________ ______________________________Signature and Date Parent/Guardian Signature and Date*

Pre-Authorization for Medical treatment regarding contestant below the age of 18:

In case of an emergency, I hereby authorize an appropriate health care provider to perform medical treatment deemed necessary for:

________________________________________________________________________

________________________________________________________________________ Parent/Guardian Signature and Date

*If the contestant is below the age of 18, the parent/guardian must sign the Medical Information Form. In all other cases, either the contestant or her parent/guardian may sign. The completed form must be returned with the contestant contract.