Nomination Form

Debutante Nomination Form

Read Before Completing:

A candidate must have attained at least her freshman year in college or the equivalent. She may not be formally engaged at the time of the presentation nor may she be associated with another debutante club prior to The Debutante Club of Mississippi, Inc. (Herein after called DMC) presentation. IMPORTANT: Recommendations must be submitted on these forms only! Additional forms may be picked up from Mary Ellen Dillard. PLEASE DO NOT ATTACH A RESUME or Extra Paper – FILL IN THE BLANKS. If the information is not complete, the prospect will not be considered. If more information beyond the scope of this form is needed, you will be contacted. CONFIDENTIALITY: PLEASE DO NOT PUBLICLY DISCUSS PROSPECTIVE DEBUTANTES. Mothers and sisters SHOULD submit proposals. Additional letters of recommendation are encouraged. NO ONE IS AUTOMATICALLY INVITED. PLEASE RETURN THIS FORM NO LATER THAN January 15, 2026.

PROSPECTIVE DEBUTANTE:

Name(Required)

Last First Middle

Called By(Required)

Date of Birth(Required)

Age(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

High School Attended

Year Graduated

College Attending

College Sorority:

Mothers, Grandmothers, and Great-Grandmothers that have made debut with DMC in Jackson (name & relation):

Siblings & their ages:

PARENT’S HISTORY:

Full Name means Title, First, Middle/Maiden, and Last

Marital Status

Married

Divorced

Mother's Full Name

Title First Middle Last Maiden Name

Father's Full Name

Title First Middle Last

Parent's Address

Street Address Address Line 2 City State ZIP Code

Cell Phone

Mother raised in

Father raised in

Length of Parents’ Jackson (or other hometown) Residency:

Parent’s Previous Residency

Length of Residency:

Father’s Occupation:

Mother’s Occupation:

Names of Maternal Grandparents & Residence:

Names of Paternal Grandparents & Residence:

Parents’ Civic Activities:

Prospective Debutante Honors:

(Please list High School & College Honors and Community/Civic Services below)

Please describe your relation to the sponsored lady and length of time you have known her:

How well do you know the Prospective Debutante? Check one of the following:

I know the prospective debutante well, and I am willing to back the recommendation in the strongest possible manner and will furnish other information if desired.

I know little of the prospective debutante but think she is definitely eligible for consideration for membership.

I do not know the prospective debutante but was asked to recommend her. This is a courtesy recommendation only.

Digital Signature

Full Name

Title First Middle Last Maiden

Year of Presentation

Address

Street Address Address Line 2 City State ZIP Code

Cell Phone