Panelist Application Panelist Application Welcome to the Miss New York family and thank you for your interest in joining a judges 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!) Name * Name First First Last Last Date of Birth (You cannot be eligible to compete and judge) * Phone * Email * Ethnic Identity * American IndianAsianBlack / African AmericanHispanic / LatinxNative Hawaiian / Pacific IslanderWhite / CaucasianMulti-RacialOtherPrefer Not to Say I am applying to be a... * Local Panelist State Panelist Which local panel are you applying for? * AnyBuffalo (Nov 2)Finger Lakes (Jan 18)Open Local Competition (Dec 7)Greater New York (Oct 13)Manhattan (Sept 14)Staten Island (Nov 24) State of Residence * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming County of Residence * Albany CountyAllegany CountyBronx CountyBroome CountyCattaraugus CountyCayuga CountyChautauqua CountyChemung CountyChenango CountyClinton CountyColumbia CountyCortland CountyDelaware CountyDutchess CountyErie CountyEssex CountyFranklin CountyFulton CountyGenesee CountyGreene CountyHamilton CountyHerkimer CountyJefferson CountyKings CountyLewis CountyLivingston CountyMadison CountyMonroe CountyMontgomery CountyNassau CountyNew York CountyNiagara CountyOneida CountyOnondaga CountyOntario CountyOrange CountyOrleans CountyOswego CountyOtsego CountyPutnam CountyQueens CountyRensselaer CountyRichmond CountyRockland CountySaint Lawrence CountySaratoga CountySchenectady CountySchoharie CountySchuyler CountySeneca CountySteuben CountySuffolk CountySullivan CountyTioga CountyTompkins CountyUlster CountyWarren CountyWashington CountyWayne CountyWestchester CountyWyoming CountyYates County Mailing Address (for your panelist's handbook) * Mailing Address (for your panelist's handbook) Mailing Address (for your panelist's handbook) Mailing Address (for your panelist's handbook) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Are you a current/former titleholder in any pageant/competition system? * Yes No List the system(s), title(s), and year(s). * Are you a current or former volunteer in any Miss America Local or State organization? * Yes No 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 or state competition before 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 (Type 'retired' or 'not currently working' in all fields if applicable) * Address for your place of work (Type 'retired' or 'not currently working' in all fields if applicable) Address for your place of work (Type 'retired' or 'not currently working' in all fields if applicable) Address for your place of work (Type 'retired' or 'not currently working' in all fields if applicable) City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Please use the link provided to read the judges rules and sign the judges affidavit. Once you submit the form, you will receive an email with a copy of your signed affidavit. Your submission is forwarded to Miss America and we require you to upload the copy you receive here. Sign Affidavit Upload the Signed Panelist's Affidavit (Must be a PDF) * Drop a file here or click to upload Choose File Maximum file size: 516MB Provide 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! It may be easiest to type your bio in a separate word document for easy readability / spell check, then copy and paste it here. * 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.) * Drop a file here or click to upload Choose File Maximum file size: 516MB Submit If you are human, leave this field blank.
