Miss JuneteenthDFW Application Form

First Name

Middle Name

Last Name

Age

Birthday

SSN (Last Four Digits)

Street Address

City

Region/State/Province

Postal / Zip code

Country

Phone

Email

Parent(s) / Guardian(s)

Name of High School / City

Expected Graduation Date

Parent/ Guardian Phone

II. Academic & Extracurricular Activities

Grade Point Average (GPA)

Class Rank

Upload Transcript

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List community service and honors

Give a summary of your personal goals

College you plan to attend

Have you been accepted?

Planned Major concentration and why?

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