1. Name

2. Email

3. City

4. Phone

5. Age (at Pageant Date)

6. Educational Institution and Program (if applicable)

7. List any previous pageant experience

8. Why do you want to be Miss Tecumseh?

9. What are some of your goals and aspirations/awards and achievements?

10. Will you participate in the Talent Competition?

11. Upload a photo of yourself.

12. Upload another photo of yourself.

13. What is 5+3?