| Please
Tell Us About Yourself
|
| Name: |
|
| Are you
18 yrs or older?: |
Yes
No
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| Home Phone: |
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| E-mail: |
|
| Cell Phone |
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Please
Tell Us Where You Live
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| Address: |
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| City:
|
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| State: |
|
Zip:
|
|
| Do
you have reliable transportation?:
|
Yes
No
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Please Tell Us Your Educational Background Education
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| High
School / Grad. Date: |
/
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| Secondary
Schools (College, Graduate,Technical, etc) |
| School
1 / Grad. Date: |
/
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| School
2 / Grad. Date: |
/
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| School
3 / Grad. Date: |
/
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Please Tell Us about Your Self
Please let us know some things about yourself so we can know more about why you would like to be a part of our Ms. Copper Tan 2010 contest.
|
Ms. Copper Tan Questions:
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| What is your occupation?: |
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| What are your hobbies? |
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| Why are you an ideal candidate for Ms. Copper Tan 2010? |
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What are some of your likes and dislikes?
|
Likes?
|
|
| Likes? |
|
Likes?:
|
|
| Dislikes? |
|
| Dislikes? |
|
| Dislikes? |
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Please Tell Us About Your History
|
Have
you ever been employed by Copper Tan?:
|
|
| If
yes: Where / When: |
/
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| In
Case Of Emergency Notify: |
|
Address:
|
|
| Phone: |
|
| During
the past 10 years, have you been convicted of a crime, misdemeanor/felony
including under the influence of intoxicants?: |
Yes:
No:
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If
YES, give date, nature of offense(s) and where convicted*:
|
|
| Date: |
|
| Nature
of Offense(s): |
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City:
|
|
| State: |
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Upload your best photo for the contest:
Please Read Below Before Submitting
Application
We consider applicants for the Ms. Copper Tan 2010 Contest without regard
to race, color, religion, creed, sex, national origin or
any other consideration made unlawful by federal, state
or local laws.
1. I declare that all statements and answers in this application
are true and complete. I also agree that if your entry is accepted,
any untruth, misleading answer, omission, concealment or
failure to answer any question fully, completely and accurately
will be grounds for terminating my contest entry. 2.
If contest application is accepted,
I agree to read and comply with Contest rules, regulations
and policies. 3. I hereby give permission
to Copper Tan to periodically record video, take pictures and record your voice during anytime or place having to anything to do with the contest.
|
You must check this box to agree to your statements above!
I AGREE
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| |
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