CENTRAL WESTERN FIREMEN’S ASSOCIATION

QUEEN’S CONTEST

June 22, 2012

Please Print

Candidate’s Name_______________________________________________________________

 

Date of Birth________________   Age__________________

 

Parents or Guardian_____________________________________________________________

 

Address_______________________________________________________________________

Email Address__________________________________________________________________

 

High School you did/do attend____________________________________________________

 

Activities you participated in during school__________________________________________

 

 

Your hobbies___________________________________________________________________

 

If you are planning on furthering your education, what school and location________________

 

 

Major Field of interest___________________________________________________________

 

Sponsoring department__________________________________________________________

 

Sponsoring department Essay.  Why I am representing my organization__________________

 

 

 

If you need more space, please use another sheet of paper.  Your essay will be posted with your picture after judging.

 

I fully understand the rules for the Queen’s Contest, and that all decisions made by the contest judges are final.

 

Queen’s Contest Candidate Signature_______________________________________________

 

CWFA Queen shall reign over the June Conference and all its activities.  She shall attend the business meeting. She is encouraged to make herself known during the entire Conference and promote good feelings of the CWFA to the public.

 

Please return this application along with $35.00 (entry fee) and an 8X10 color photo copy of the candidate. (It will not be returned.)  Make checks payable to: CWFA,

             PO Box 101,

                                                                                                                         Covington, Ohio 45318

 

Chief or President Signature_______________________________________________________

 

Department Email Address________________________________________

The sponsoring department Chief or President must sign this form.

 

Final Deadline for registration is Saturday, June 9, 2012.