Miss Ukrainian Canada
Cultural Show - 2018
(Application Deadline: November 15th, 2017 at 12:00 pm)
Application Form
APPLICANT INFORMATION:
First and Last Name:Date of Birth:
Phone Number:
Street Address:
Citizenship/Nationality:
Years of Residence in Canada:
Languages Spoken:
Facebook Profile:
EDUCATION & PROFESSIONAL BACKGROUND:
Please list anyDegrees Attained,Certificates, Diplomas, Scholarships & Achievements:Example: M.A. Political Sciencewith Specialization in African Studies, University of Ottawa (2015)
(Don’t forget to mention ALL yourscholarships, grants, diplomas, medals or other awards).
List student clubs, youth organizations or other associations you belong to:
Current place of employment or school you attend? Tell us briefly about your professional background:
Please tell us about your volunteer experience & community involvement:
TALENT & HOBBY:
Describe your talents, hobbies, sport awards or list ANY other accomplishments:Examples: |Vocals |Dance | Gymnastics | Poetry |Acting | Instrumental | Fashion Design | Martial Arts
Sport | Photography | Other
TALENT YOU WILL BE PERFORMING:
Prepare one (1) piece/ routine which showcases your talent. Each prepared piece needs to be no longer than 2 minutes in length for the audition.Please email us a representation/file of your talent (YouTube link, mp3, photographs, etc.). You may be asked to audition live during your in-person interview (Semi-Final).
YouTube Link (the URL’s):
PLEASE DESCRIBE YOURSELF IN THREE WORDS:
1)______2) ______3) ______
PLEASE GIVE BELOW ANY INTERESTING INFORMATION ABOUT YOURSELF:
WHY ARE YOU APPLYING FOR MISS UKRAINIAN CANADA CULTURAL SHOW?*
(Tip: Please tell us what motivated you to apply? What is your main reason for wanting to participate in the show and what are your expectations about the contest – e.g. to gain experience, present your talent, meet new friends, promote Ukrainian culture, etc. Be creative!)
PLEASE TELL US WHO IS YOUR FAVORITE UKRAINIAN AUTHOR AND WHY?
IMPORTANT NOTE:
A.Applicant is hereby informed that the personal data provided in this Application Form and On-line Application Form (Application forms) will be retained and used by the organizer for activities relating to the Miss Ukrainian Canada Cultural Show (“Contest”) including the promotion marketing.
B.Applicant is hereby informed that the personal data supplied by her will be disclosed to the journalists, other media, advertisers, third-party service providers, panel of judges for the Contest and the public for the purposes mentioned in the above.
C.Applicant is hereby informed that she has the right to obtain her copy of her information and request necessary corrections be made if such data no longer accurate.
I hereby agree and consent that organizers of the Contest may collect, use, disclose and process my personal information set out in my Application forms.
DATE: ______SIGNATURE ______
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