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MISS CHAMPAIGN COUNTY FAIR QUEEN APPLICATION 2008

PLEASE TYPE THE FOLLOWING INFORMATION:

(Must be a Champaign County resident for at least one year)

Name_____________________________________Age_____

Address____________________________City________________Zip_______

Date of birth__________________ Please attach proof of age

Telephone #(_____)__________________

Height________E-Mail address:____________________________________

Name of Parents:_________________________________________________

Address (if different than yours)_____________________________________

City_________________Zip__________Telephone #(____)_______________

Education & Career Goals:_________________________________________
________________________________________________________________
________________________________________________________________
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Employment:_____________________________________________________
________________________________________________________________

Hobbies & Interest: ______________________________________________
________________________________________________________________
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Activities: ____________________________________________________
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Special Honors:_________________________________________________
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