Panelist Application

Welcome to the Miss New York family and thank you for your interest in joining a panel for a State or Local competition! Please fill out the information below and upload any required attachments. If you are applying to be a local panelist, the director or panelist chair for that local should reach out to you directly. If you are applying to be a state panelist you will be contacted by John Giglio, the State Panelist Chair. please be on the look-out from an email from john@miss-newyork.org (check you junk mail!)

STEP 1: Read the judges rules and sign Miss America’s Judges Affidavit. You will need to attach it at the bottom of this form

STEP 2: Fill out the fields below!

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Name *

Phone Number *

Email *

Date of Birth (You cannot be eligible to compete and judge) *

Ethnic Identity *--- Select Choice ---American IndianAsianBlack / African AmericanHispanic / LatinxNative Hawaiian / Pacific IslanderWhite / CaucasianMulti-EthnicOtherPrefer not to say

State of Primary ResidenceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasU.S Territory (Virgin Islands, Guam, Puerto Rico)UtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

I am applying to be a...

• Local Panelist
• State Panelist

Address (where we should send your judges binder)

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Which local panel are you applying for?Finger LakesGreater New YorkManhattanStaten Island

and you currently

Are you a current/former titleholder in any pageant/competition system? *

• No
• Yes

List the system(s), title(s), and year(s).

Are you a current or former volunteer in any Miss America Local or State organization? *

• No
• Yes

List the state(s), title(s), and year(s)

Have you judged a pageant/competition before? *

• No, I am a novice judge!
• Yes, but not in the Miss America system
• Yes, I have judged a Miss America Local, State, or National competition before (miss or teen)

List the competition(s) you judged and the year(s)

What industry do you work in? (Type 'retired' or 'not currently working' if applicable) *

What is your current company and title? (Type 'retired' enter your previous employer and title. Or 'not currently working' if applicable) *

Address for your place of work (Leave blank if retired or not currently working)

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Upload the Signed Panelist's Affidavit (Must be a PDF) *

Drag & Drop Files, Choose Files to Upload

Upload a Photo/Headshot (High Resolution. Color. No pageant headshots with a crown or sash. Should be zoomed out enough to see at least to your shoulders.)

Drag & Drop Files, Choose Files to Upload

Upload a Bio for our competition magazine! Include information about your experience with Miss America (if applicable), your career, education, history with community service, awards earned, and hobbies! Aim for between 300 and 600 words

Drag & Drop Files, Choose Files to Upload

Submit