Community Service and Donations Report

This information represents the estimated hours donated to your social impact initiative (SII) and other community service projects and the funds raised for said SII and service projects from June 15, 2021 through April 20, 2022. This form assists our program in tracking community service information, which contributes to our State Operating Report provided to MAO each year.

REMEMBER, to qualify for state, MISS candidates have until May 10, 2022 to submit her $325 Miss America State Competition Fee.

* Indicates required field

Contestant Name - Designate Miss or Teen *

Local Title *

Social Impact Initiative Name *

Social Impact Initiative Service Hours *

Funds Raised for Social Impact Initiative from June 15, 2021 to present *

Name of Other Community Service Project *

Service Hours *

Funds Raised *

Name of Other Community Service Project *

Service Hours *

Funds Raised *

Name of Other Community Service Project *

Service Hours *

Funds Raised *

Please add any additional information or projects if necessary *

Submit