Miss African-American of Putnam County

Putnam County - Palatka, Florida
February 13, 1998
Miss African-American of Putnam County
Contestant Application
1998
Name:
Date of Birth:
City, County and State:
Present Mailing Address:
Present Physical Address:
Home Telephone Number:
Work Telephone Number:
Names of Parents and Relatives:
Mother:
Father:
Sister(s):
Brother(s):
Guardian:
Other:
Education:
Elementary K-5:
Middle School 6-8:
High School 9-12:
College 1___ 2___ 3___ 4___ 5___:
Name Specialty:
Religious Affiliation:
Organization Affiliation:
Hobbies:
Talent:
Why would you like to become "Miss African-American of Putnam County 1998,"
(Use addtional sheets if necessary)
Map to find your way to Putnam County |
William Jackson
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