Apply Here! – Miss Oregon USA

For the 2019 Miss Oregon USA^® or 2019 Miss Oregon Teen USA^® Pageant

Pageant Category
- Miss Oregon Teen USA(14-18)
- Miss Oregon USA(18-27)
CONTESTANT'S FULL NAME (and if you go by a nickname, please include it in parenthesis. (For example, if your name is Katy but you go by Kat, then you would input in the First name column: Katy (Kat)
First Middle Last
LIST TWO (2) LOCAL TITLE CHOICES (for example if you're in the 14-18 division: Grants Pass Teen, Multnomah County Teen, Crater Lake Teen, Columbia River Teen, etc. and if you're in the 18-27 division, then: South Eugene, Greater Portland, Downtown Bend, etc.)
DATE OF BIRTH*
ETHNIC BACKGROUND (such as African-American, Asian, Caucasian, Hispanic, Native-American, etc. or if you prefer, you may input a specific ethnicity such as; Brazilian, Chinese, English, French, Indian - as in India, Iraqi, Japanese, Sudanese, Swedish, etc.) and HEIGHT & WEIGHT (optional)
CONTESTANT'S ADDRESS
Address City State ZIP Code
CONTESTANT'S CELL# and E-MAIL ADDRESS (be sure to double check that your cell # and e-mail address are correct)*

WHAT GRADE AND WHAT SCHOOL/COLLEGE/UNIVERSITY DO YOU ATTEND?
OCCUPATION AND/OR EMPLOYER (if any)
WHAT ARE SOME OF YOUR GOALS, AWARDS, HOBBIES OR TALENTS OR ANYTHING ELSE YOU WOULD WANT US TO KNOW?
HOW DID YOU HEAR ABOUT THIS PAGEANT & WHO REFERRED YOU? (please be specific) and DO YOU KNOW OF SOMEONE THAT WOULD BENEFIT FROM OR BE INTERESTED IN THIS PAGEANT? (please list names and cell numbers)

PARENT'S NAMES
PARENT'S ADDRESS (if different than Contestant's Address)
Address City State ZIP Code
PARENT'S CELL#s and E-MAIL ADDRESS (be sure to double check that your parent's cell #s and e-mail addresses are correct)

Apply!