Miss World® Canada 2012 Application

Do you have what it takes to be the next Miss World Canada? Are you ready, not only to be the ambassador of Miss World Canada, but the ambassador of Miss World? Miss World Canada focuses on beauty with a purpose, emphasizing life skills, and opening doors to its contestants through scholarships, job opportunities, and being a voice for your country.

The Miss World Pageant is the oldest and most watched annually televised show in the world, and has raised over $500 million for charities around the globe. To qualify for the 2012 Miss World Canada competition, you must be a Canadian citizen or permanent resident between the ages of 17-24 by July 2012.

Fill out the following information and we will get back to you directly. All applicants that meet the basic requirements will be interviewed via telephone and possibly selected to compete as one of the Canadian finalists to represent Canada in the Miss World® 2012 pageant.

Spaces are limited so do not delay for your chance to be an ambassador for Canada on the world stage.

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PLEASE READ FAQ FOR PRE-REQUISITES TO QUALIFY *(denotes required field)
First Name: *		Last Name: *
Birth Date (mm/dd/yyyy): *		Languages:
Nationality: *		Canadian Citizen or Permanent Resident: * Canadian CitizenPermanent Resident
Address: *		City: *
Province: *		Email: *
Postal Code: *
Telephone Day: *		Cellular Phone: *
Height: *		Weight: *
Bust/Waist/Hips:		Dress Size/Blouse Size/Pant Size:
Special Talents & Skills: *
Education (degrees, certification, diploma, awards): *
Tell us a bit about yourself: *
Reason for entering Miss World Canada 2012: *
Where did you hear about Miss World Canada 2012?
Did someone refer you? If so, who?
Head Shot Photo: * Evening Gown Photo: * Other Photo: *
By filling out this application, you certify that the information provided is accurate. In the event of any misrepresentation, you will automatically be disqualified to participate.