Application to Compete

2012 North Carolina’s Outstanding Little Miss Pageant

APPLICATION TO COMPETE

Name: ______

First Middle Last

Address: ______

______City State Zip

Contestant SS#: ______Age (7/20/12): ______

Phone: ______

Home Mothers CellularFathers Cellular

Name of Parents: ______

Address (if different than yours) ______

______

E-mail Address for Mother E-mail Address for Father

______

Mother’s Occupation Father’s Occupation

REPRESENTING Local: ______

COMPETING in Division: ______

Carolina Princess for (local) ______Year ______

1. Entry fee of $500for Junior, Preteen and Young Division must be included to be considered as an at large contest.

~ $450 ($50 discount) if you have been a Carolina Princess at Miss NC

~ $400($100 discount) if you competed at a NCOLM Preliminary 2011-2012

~ $350 if you competed at a NCOLM Preliminary 2011-2012 and have been a Carolina Princess at Miss NC

~ $325 (additional $25early bird discount) if you competed at a NCOLM Preliminary 2010-2011, hasbeen a Carolina Princess at Miss NC AND paperwork is in the NCOLM office by Sunday, June 24th, 2012.

2. A recent Photo (headshot) must be submitted with application; stapled in the top right hand corner of the application. Application must be 3-hole punched. (1 Copy)

E-Mail:

Mail application & Fee (certified check or money order) to

Directors, NC Outstanding Little Miss 2122 Brimming Lake Court, Raleigh, NC 27614

2012 North Carolina’s Outstanding Little Miss

CONTESTANT’S COMMITMENT to STATE PAGEANT

Asa Contestant in the 2012 North Carolina’s Outstanding Little Miss State Pageant in Louisburg, North Carolina, I hereby acknowledge that it is mandatory to be timely to registration of pageant week, attend all scheduled rehearsals, public appearances and competition events as designated on the schedule provided to me by the directors of North Carolina’s Outstanding Little Miss Pageant. I understand that if I fail to be present for any portion of the official competition, I will be dismissed from competing for any title of the North Carolina’s Outstanding Little Miss Pageant without recourse. I acknowledge that the decision of the Judges of the North Carolina’s Outstanding Little Miss Pageant is final and agree to refrain from approaching the judges at any time.

I HEREBY ACKNOWLEDGE that I will not be released from these commitments until the conclusion of the State Finals.

Signature of Contestant: ______

Signature of Parent: ______

STATE OF: ______

COUNTY OF: ______

Sworn to, Subscribed and Acknowledged before me on _____ day of _____, 20___, by ______who is/are personally known to me or who has/have produced valid identification. Personally Known ______or Produced Identification ______Type of Identification Produced ______

______

NOTARY PUBLIC

(SEAL)

______

Notary Print Name

My Commission Expires: ______

2012 North Carolina’s Outstanding Little Miss

PHOTOGRAPHER COPYRIGHT ASSIGNEMENT AGREEMENT

[print photographer/corporation] and the North Carolina’s Outstanding Little Miss Pageant.

WHEREAS, Photographer has been commissioned by ______[print name of contestant] to take photographs of her in connection with her participation as a contestant in the Miss North Carolina’s Outstanding Little Miss Pageant.

WHEREAS, pursuant to an agreement between Pageant contestants and North Carolina’s Outstanding Little Miss Pageant, contestants have waived all rights in and to the use of their names and likenesses in connection with the Pageant and any commercial activity emanating there from;

NOW, THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties agree as follows:

Photographer hereby assigns to North Carolina’s Outstanding Little Miss Pageant all rights, title and interest worldwide in and to the photographs of the Pageant contestants, including the copyright as a co-owner with the Photographer. Photographer expressly acknowledges that upon creation of the photographs, North Carolina’s Outstanding Little Miss shall have all rights of ownership in and to the photographs, including but not limited to the right to reproduce, display and distribute them in any medium at North Carolina’s Outstanding Little Miss sole discretion, and to incorporate them into any other work or to make derivative works from them. Photographer acknowledges that the photographs may be incorporated into commercial works or merchandise, publicity materials, posters, brochures or other materials or uses which North Carolina’s Outstanding Little Miss in its sole discretion shall deem appropriate. Photographer agrees that North Carolina’s Outstanding Little Miss does not require the consent of the Photographer to make any such use.
Photographer shall not assert any claim of moral rights (droit moral) in connection with the photographs. Notwithstanding the foregoing, North Carolina’s Outstanding Little Miss shall, if possible, provide bylines or give credit to the Photographer when use of the photographs is made. However, the failure of North Carolina’s Outstanding Little Miss does not require the consent of the Photographer to make such use.
This Agreement shall be binding, valid and enforceable against, and the benefits thereof shall insure to, the parties’ successors, licensees, assigns, and parties in privities with them.

Photographer NorthCarolina’s Outstanding Little Miss Pageant

______

Print Photographer Name and Date Print Contestant Name and Date

______

Signed Name Parent Signature

STATE OF: ______COUNTY OF: ______:SS

BE IT REMEMBERED, That on this ______day of ______, 20__, before me, the subscriber, personally appeared ______who, I am satisfied, is the Photographer named in and who executed the within instrument, and thereupon he acknowledges that he signed, sealed and delivered the same as his act and deed, for the uses and purposes therein expressed.

______

Notary Public

Photographer credit to read: ______

A RELEASE MUST accompany EVERY PHOTO that is PRINTED (headshot or ad page)

2012 North Carolina’s Outstanding Little Miss

CONTESTANT QUESTIONNAIRE

Please complete all of the following questions. The following information is due with paperwork on July 7th, 2012. Please return the original and 5 copies, 3-hole punched with a wallet photo stapled to the top right hand corner. This information will be used in the judge’s books, so make a good impression.

Name: ______Division:______

What is your favorite;

Movie:______Song: ______Place to visit:______

Food: ______Book: ______TV Progam: ______

When answering the following questions, please keep them to one sentence:

Describe your hometown: ______

______

If you are crowned North Carolina’s Outstanding Little Miss, what will you do?______

______

Secret wish: ______Role model: ______

I’m motivated by: ______I can’t live without: ______

3 words to describe me: ______

Something interesting about my family: ______

______

Most embarrassing moment:______

______

Do you have any pets? What kind and what are the names? ______

______

One thing people don’t know about me: ____________

______

If I had 1 wish, what would it be? _______

______

One of my favorite things to do:______

______

2012 North Carolina’s Outstanding Little Miss

NEW ~ TALENT INTRODUCTION (OPTIONAL for Petite Little)

Talent is to be no more than 2 minutes; no exceptions

FULL NAME: ______DIVISION:______

PHONETIC SPELLING OF YOUR NAME:______

PHONE: ______E-MAIL: ______

TYPE of TALENT: ______TIME:(2 mins) ______

(vocal – popular, aria, etc.; dance, drama, instrumental, etc.)

TITLE OF SONG: ______

LIST PROPS(MUST be able to carry on stage, NO EXCEPTIONS):______

______

SUGGESTED TALENT INTRODUCTION: type or print

______

Include 2 CD’s with your name, division and the name of music written on CD and CD Case (also bring additional CD for back-up) NOTE: No background vocals

2012REQUIRED FOR ALL

Children’s Miracle Network Fundraiser

People’s Choice Award

Silent Auction Basket

Every contestant is required to bring a basket for a silent auctionduring the weekend of North Carolina’s Outstanding Little Miss. Every year at Miss NC the baskets are spectacular and we are sure that the NCOLM contestant baskets will outshine their big sisters. Please remember the following things when collecting items for their basket:

Keep the ages of people you need to appeal to in mind when creating your basket. Use your presentation and marketing skills to produce a victorious basket.

Verify that all gift certificates and dated items are valid until at least July 31st, 2013.

All items must be displayed under plastic wrapping with no loose parts that could be lost or taken off. The Dollar Tree has clear basket bags.

Pack the basket as compactly as possible. Attach a complete item list, including the item’s value, one the outside of your basket. Place your name and photo inside the basketso people know who put it together. If you receive large items like furniture make sure they are marked with your name also.

Be as creative as possible with your basket. Think about what your area has to offer and talk to the local merchants and manufacturers about unique items.

Thank you in advance for your forethought for making your basket. Please bring the attached form to check-in with your basket.

The contestant whose basket sells for the most money receives, in cash, ½ of total amount that the basket brings. Ex: If you have the winning basket that sells for $500, you will receive $250.

Basket Auction

Contestant: ______Division: ______

Basket Contents:

Bidders:

Children’s Miracle Network / Miss America Organization

Money Order Donation Form

Children’s Miracle Network & Miss America Information for: __NC___ (State)

Donor Name: _NC Outstanding Little Miss____ Phone #: (252)_213_-_4747_

Address: _2122 Brimming Lake Ct_ City: _Raleigh_ State:_NC_ Zip:_27614_

Email: _______

Contestants Name: _Miss NC 2012 to be named in June 2012______

Pageant: _Miss North Carolina______State:_NC______

Donation Amount: $______Money order #: ______

Money order should be made payable to: Children’s Miracle Network

Money order below: DO NOT MAIL DIRECTLY TO CMN – we cannot track it to make sure NC gets credit for the donation.

TO BE APPLIED TO THE ACCOUNT OF MISS NC 2012

NCOLM Contestant/Queen 2012______

2012 North Carolina’s Outstanding Little Miss Pageant

PROGRAM BOOK ADVERTISEMENT PRICE LIST

Contestants can earn funds to help support their NC Outstanding Little Miss Pageant preparations through the selling of advertisements for the North Carolina’s Outstanding Little Miss Pageant Program Book. Below is the price schedule for camera ready advertisements turned in on a CD. Ads requiring any work from the graphic designer will incur an additional charge of $50.00 per ad.

PagesSold / Amount / Due to NCOLM
One / (Required) / $150 / (Required) / $150
Two / $300 / $275
Three / $450 / $400
Four / $600 / $525
Five / $750 / $650
Six / $900 / $775
Seven / $1,050 / $900
Eight / $1,200 / $1,025
Nine / $1,350 / $1,150
Ten / $1,500 / $1,275
Eleven / $1,650 / $1,400
Twelve / $1,800 / $1,525
Thirteen / $1,950 / $1,650
Fourteen / $2,100 / $1,775
Fifteen / $2,250 / $1,900
Sixteen / $2,400 / $2,025
Seventeen / $2,550 / $2,150
Eighteen / $2,700 / $2,275
Nineteen / $2,850 / $2,400
Twenty / $3,000 / $2,525

Ad pages must be turned in and paid in full with application no later than

July7th, 2012

AllCONTESTANTS are REQUIRED to have 1 AD in the program.

Please make certified checks or money orders payable to:

NC’s Outstanding Little Miss Pageant

Ad funds and photographs MUST include contestant’s name.

E-Mail:

2012 OPTIONAL FOR ALL

Optional Photogenic(must enter to win Majestic or Mini-Majestic)

The Optional Photogenic Competition provides additional opportunity for our contestants to be showcased. There will be 1 winner per age division and 1 overall photogenic award. The optional photogenic scores have no bearing on the NCOLM division titles but are required and included in the score for Majestic titles.

Contestants may submit multiple photogenic entries but photogenic is not required to win the division title.

2012 North Carolina’s Outstanding Little Miss Photogenic Competition:

Photos must be 5x7 may be color or black & white

Headshots recommended.

Photos must be labeled with the contestants name & division on the back. Please do not write on the back, use a label.

Photos will be judged on Beauty, Expression, and Personality.

Entry fee is $25.00 per entry (multiple entries may be submitted)

Photos will not be returned

Photographs for the Photogenic Competition must be turned in with NCOLM paperwork, no later than July 7th, 2012. There will be no door entries accepted, NO EXCEPTIONS.

All photo entries are to be included in 2012 NCOLM paperwork:

Optional Auditorium Banner

Showcase your contestant!

Hang a personal banner in the Louisburg College Auditorium during the pageant for all to see!

You can use any printer you would like BUT after years of research, the cheapest, most reliable, and best quality banners we have found is at Half Price Banners.

NORTH CAROLINA’s OUTSTANDING LITTLE MISS

INSTRUCTIONS FOR PLATFORM ISSUE STATEMENT:

This is your opportunity to explain to the judges what your chosen platform is and why it is important to develop it as a contestant in the North Carolina’s Outstanding Little Miss Pageant. In addition, it should explain how your platform will further North Carolina’s Outstanding Little Miss “brand” to the public.This page ONE (1) page, singled-spaced document, combined with the Contestant’s Resume and Questionnaire, will comprise the entire application for this honor. The judges will receive exactly what is submitted. Any items that do meet the established criteria will not be submitted to the judges. The contestant may explain the lack of judging materials during her interview, if she so chooses. Remember, learning to follow directions is a key element in the success of life.

Go to the word processing program of your computer and start a “new” document

Set margins for 1" on all four (4) sides. You must use “12” point Times New Roman font style.

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

Then, move to the next line and type “Hometown:” in bold. Following the colon (:), hit the space bar twice. Then, type your city you live in.

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

Double space down. Write what you feel is critical for the judge’s to know about your platform. What you write will be what the judges know about your platform, your role in successfully dealing with this issue.

At the bottom of the page, you MUST set the justification to the right. Type a line of 26 spaces. Below that line, you must type Signature/Date. Once you have printed the document, you must sign and date this document.

This essay may include some of the following suggestions:

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
How you propose to fund your ideas/plans
Significant accomplishments you have made in regard to your issue.

Name: Sammy Jo Smith

Hometown: Wendell, NC

Volunteering for Life

Name: Sue SmithEXAMPLE

Hometown: Wendell, NC

Volunteering for Life

I never thought about becoming a volunteer until someone asked me. That’s all it took…someone asking. Since that first effort on my part, I have become an avid volunteer for many different agencies, organizations, and individuals in my community. Of the 65 million Americans who volunteer each year, 29 percent are teens. My platform focuses on increasing the number of teens and young people who volunteer. As Miss North Carolina’s Outstanding Teen, I will encourage other teens to volunteer their time and hands to those who are in need within their own communities. Through the strength of the crown and the publicity that accompanies it, my own enthusiasm and personal experience will be much more effective when asking people to give of themselves. Community service is a key part of the Miss North Carolina program; I will make it the focus of my year of service.

To begin, I will visit schools and clubs offering encouragement and showing how my own efforts have helped make a difference. Perhaps my work in 135 different volunteer activities and input of almost 600 hours will inspire other teens to do the same. I have found 24 different organizations in my area that need the help of volunteers, so I know teens can find groups in their own neighborhoods and towns that need a helping hand. Most teens are anxious to help, but they do not know how to make a connection. As Miss North Carolina’s Outstanding Teen, I will create a clear path to connect volunteers with organizations. A well designed website will assist youth in identifying their personal skills, interests and strengths for volunteering. Every type and degree of skill can be utilized. In addition, the website will provide information on how to identify and contact organizations. Many communities have formal programs; North Carolina participates in state and national programs such as; Learn and Serve America, Volunteer Match and The Presidents Volunteer Service Program that would be linked to the website.

President Bush suggests that each American volunteers 4000 hours over a lifetime. This year I received the President’s Gold Service Medal. The estimated dollar value of volunteer time in North Carolina is $15.52 per hour. Imagine how much more each organization or group could do if every person offered his or her services as a volunteer. The effect would be amazing! Most people do not even realize they would enjoy volunteering. Volunteering creates a sense of belonging in the community; a person can feel like they have “made a difference.” For the organization, valuable services are performed at “no cost” which benefits both the organization and the country. The problems of the world are never too big: “You can eat an elephant one bite at a time.” We can solve the world’s problems, one effort at a time.

Unfortunately, the thought of volunteering does not cross the minds of many teens because of the demands of school and extracurricular activities. Teens have an endless supply of energy and lots of talent and imagination that can be used in the area of volunteerism. Perhaps all teens need is someone to ask them to volunteer. My efforts have resulted in helping raise over $85,000 and I am just 15 years old. I’m not a superstar. I’m not a miracle worker. I am a 15 year old girl who offers to help those who need it. Volunteering makes me feel good. I want to inspire others to do the same. Some will respond to a challenge; some will respond to an inspirational story or to a tearful situation. Most people will respond simply because they are asked. I am just the girl to do the asking!

______

Signature/Date