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Page 1: 2017 NORTH AURORA MOTHERS CLUB KING & QUEEN CONTEST

2017 NORTH AURORA MOTHERS CLUB KING & QUEEN CONTEST APPLICATION

Mailyourcompletedapplicationto:NAMCCOMMUNITYRELATIONS,POBOX57,NorthAurora,IL60542.

Oremailto:[email protected]/datednolaterthanFRIDAY,APRIL14,2017.

Formoreinformation,[email protected]

$1,000EACHKING&QUEENSCHOLARSHIP:AwardedbytheNorthAuroraMothersClub

Applicationsmustinclude: ApplicantRequirements:

• ProofofNorthAuroraresidencyorSchoolDistrict

129,WestAuroraHighSchoolstudent• OfficialHighSchoolTranscript• DocumentationofCommunityService• Three(3)LettersofRecommendation• ScholarshipEssay(1,000wordsorless)sharing

howyouhavepersonallygotteninvolvedinyourcommunityandwhyyouthinkitisimportantforyoungpeopletobeinvolved.

• Mustbegraduatinghighschoolthisyear• Mustcurrentlypossess3.0minimumGPA• Mustattendanaccrediteddegree-grantingpost-

secondaryeducationalinstitutionbytheendof2017• Mustdemonstratemoralforceofcharacter,leadership

abilitiesandaninterestinfellowstudentsandtheircommunity

Name:

Address:

DateofBirth: HomePhone:

CellPhone:

School:

Employer(ifapplicable)

IherebyaffirmthatIamasuccessfulrolemodelforotherteensandIamofcharacterabovereproach.Ifurtherunderstandthatifselected,Imustbeavailableforthe2017NorthAuroraDays–August5&6,2017.

Signatureofapplicant: Date:

_______________________________________________ _________________________

PARENTALCONSENT:

Iherebygive_____________________________mychildorwardpermissiontoparticipateinthe2017NorthAuroraCommunityParade,King&QueenContest.Ifhe/sheisselected,asKingorQueen,Iagreetopermithim/hertoposeforphotographersduringtheparadefestivitiesand/orrelatedevents.Ifurtherunderstandthatifselectedhe/shemustbeavailableonAugust5&6,2017.

PrintednameofParent/Guardian:_________________________________________ Date:___________________

SignatureofParent/Guardian:____________________________________________

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