2022 Miss Juneteenth Scholarship Pageant Application

Due by April 8, 2022

Please type or print legibly in blue or black ink

Contestant's Name:

Address:

City: State: Zip:

Age: Date of Birth:

Current School: Current G.P.A.:

Home Phone: Cell:

Email:

Parent/Guardian Information

Parent/Guardian's Name:

(If Different From Above)

Address:

City: State: Zip:

The Miss Juneteenth Scholarship Pageant is sponsored by the Dr. Martin Luther King, Jr. Memorial
Foundation, Inc., of Jacksonville, Florida. Upon receipt of this abbreviated application we will email
you the complete application package including the Miss Juneteenth Scholarship Pagent Handbook.
The Miss Juneteenth Scholarship Pageant will take place on Saturday, June 18, 2022, during the
Juneteenth in Jacksonville Celebration. For more information, We can be reached at (904) 240-
1523 or mlkfdnorg@yahoo.com.