Contact Information
First Name: Last Name: Email:
Address: City: State: Zip Code:
Home Phone: Cell Phone: Pager:
Personal Information
Age Date of Birth Ethnicity
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 African American Cambodian Caucasian Chinese Filipino Hispanic Hmong Indonesian Japanese Korean Laos Latino Mein Thai Vietnamese
Types of Modeling or Work you will do: (Check all that apply)
Are you willing to do "prints for time" test shoots? Yes No
Compensation you are willing to work for:(Select ALL that apply)
Are you willing to travel for assignments, auditions and/or test shoots?
Yes No Only with expenses paid
Experience Level: None Beginner Some Experience Intermediate Advanced Professional
Do you have an up-to-date Portfolio?Yes No