Application Form


Please read before you apply.

●cannot apply by mobile phone(Smartphone is ok.)

●When recommending someone you must have that applicants permission.

●Personal information for application will be solely used for the purpose of this contest.

⇒Misawa Queen Application Requirements for Americans

Please make sure to choose a correct application.
self-recommendation  recommendation by others


Application form(Nominate yourself)※These are all the required item.

Picture (from the waist up) * taken within past 3 months.(Less than 5MB)

Picture (from the waist up) * taken within past 3 months.(Less than 5MB)

Name

Birth date  ex:2015/01/01

Home or Mobile Number  * Enter your day phone number.

Mail address

Place of work or name of school

Current address

Place of birth

Hobby

Specialty

Reason(s) for application

Application form(Nominate others)※These are all the required item.

When recommending someone you must have that applicants permission.

Picture (from the waist up) * taken within past 3 months.(Less than 5MB)

Picture (from the waist up) * taken within past 3 months.(Less than 5MB)

Name

Birth date  ex:2015/01/01

Home or Mobile Number  * Enter your day phone number.

Mail address

Place of work or name of school

Current address

Place of birth

Hobby

Specialty

Reason(s) for application

* Please specify if you are recommended by others.

Name of recommender

Relation to applicant

Mail address

Current address

Home or Mobile Number  * Enter your day phone number.


Contact Us

〒033-0022
Misawa City Tourist Association Misawa Queen Nomination Committee
116-2858, Sabishirotai, Misawa City
E-mail:msa@misawasi.com

It might take time for us to reply, please wait for a few days.