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Teen Paperwork
American Heart Association / Spotfund
Program Book Questionnaire
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Indicates required field
Name as you would like it to appear in the Program Book. Your middle name is optional.
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Confirm Name
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I confirm that this is the correct spelling of my name
Level of Competition
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Miss
Teen
Local Title
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Select One
Miss Black Hawk Valley
Miss Burlington
Miss Capital City
Miss Clinton County
Miss Golden Circle
Miss Greater Des Moines
Miss Great River
Miss Heartland
Miss Liberty
Miss Metro
Miss Mississippi Valley
Miss Northeast Iowa
Miss Polk County
Miss Scott County
Miss Wild Rose
Miss Mount Pleasant
Miss Spring Creek
Miss Centennial
Miss Sunset Landing
Miss Hawkeye
Miss Two Rivers
Miss Muscatine
Miss Pearl City
Miss River View
Miss Palmer Hills
Miss Tanglewood
Miss River View
Hometown
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Age as of June 12, 2024
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Name of the school or college you are attending, will attend in the Fall, or did attend (if graduated)?
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What is your major? (if applicable)
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What are your scholastic honors?
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What is your career ambition?
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What is the title of your Community Service Initiative?
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What is your greatest achievement? (Does not need to be related to CSI, but can be. )
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What is your talent?
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What is a fun or interesting fact about you?
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What is your favorite quote and who is the author of the quote, if known?
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Submit