Tiny May Queen Candidate Application (must be 4 – 6, Pre-K or K) Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Age on May 1st*Please enter a number from 4 to 6.*MUST BE 4, 5, or 6Parent’s / Legal Guardian’s names:* Parent’s / Legal Guardian’s Cell numbers*Parent’s / Legal Guardian’s Email Address* We love legacies! If you have a family member in the Ossoli Club or have had a family member participate in the May Queen Court in the past, please list their name (including maiden name if applicable), family relationship and position in court:*Extracurricular activities*Community Service: (include school projects, church, Girl Scouts, etc.)*Note to Applicant and Parent/ Guardian: The Ossoli Club May Queen contest is a fundraiser for school and community projects in the City of Corbin. Every contestant is required to raise a minimum of $500 to participate in the final court. Donations are non-refundable. All donations are to the Ossoli Club Foundation which is a legally IRS-registered 503C entity allowing for tax deductions to the fullest extent. It is recommended that persons wishing to use their donation as a tax deduction pay online at ossoliclubofcorbin.org or write a check payable to Ossoli Club Foundation in order to have record of their donation. Only single donations greater than $250 will be issued a receipt. Your signatures indicate your desire to participate as a May Day Queen contestant and your permission as parent/guardian for the contestant to do so.NOTE: THE OSSOLI CLUB WILL SELECT AT LEAST 9 CANDIDATES FROM THE APPLICATIONS RECEIVED BY 12MN ON 2/25/22 VIA EMAIL AT firstname.lastname@example.org (NO EXCEPTIONS WILL BE MADE)Candidate Signature*Parent Signature*Please tell us why you would like to participate in the May Queen Court:*PhoneThis field is for validation purposes and should be left unchanged.