First Name:

Last Name:

Last 4 Digit of Social Security Number as Electronic Signature:

Date Of Birth:

Sex: Male Female

Full Time Student?: Yes No

Employed Full Time?: Yes No

Address Line 1:

Address Line 2:

City:

State: 

Zip: 

Telephone:

Fax:

Voice-Mail

Cellular:

E-Mail:

Height:
Weight:
Hair Color:
Eye Color:
Shoes:
Bust/Chest:
Waist/Inseam:
Hips:
Neck:
Dress/Suit Size:

Fashion Experience (Fill Out Below):

Special Talents (Fill Out Below):

QUESTIONNAIRE

Do you want to...

Act

Model

Catering Staff

Personal Trainer

Entertainer

Industry: Stylist, Makeup Artist, Photographer, Designer

What form of acting will you do?

Film

TV

Stage

Commercials

All

Did you go to acting class/school?

Yes

Where?

No

What type of modeling will you do?

Print

Runway

Music Videos

Ads

Catalogues

Billboards

Commercial

Industrials

Still

Fit

All

The One That Pays The Most Money

Would you pose in a swimsuit? (ALL AGES)

Yes

No

Undecided

Would you do artistic nudes? (16 YRS +)

Yes

No

Undecided

Would you do nude modeling? (18 YRS +)

Yes

No

Undecided