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Full Name (First, MI, Last):
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Mailing Address (No., Street, City, State, ZIP Code):
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E-Mail Address:
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Contact Number:
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Age (Must Be At Least 18):
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Date of Birth (mm/dd/yy):
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Place of Birth:
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Nationality:
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Eye Color:
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Hair Color:
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Height:
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Weight:
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I Wear the Following (Check All That Apply):
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Glasses
Contacts
Clear Braces
Metal Braces
None
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Waist Size (i.e. 32):
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Inseam/Length (i.e. 34):
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Shirt Size (i.e. S, M, L):
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Jacket Size (i.e. 36):
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Shoe Size:
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Willing to Travel (Transportation Available):
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I am Comfortable With All of the Following Types of Modeling (Check All That Apply):
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Speedo
Swim Trunks
Live
Runway
Advertising
Magazine
Nude (Fine Art)
Music Video
Fashion
Calendar
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Please List Any Currently Scheduled Activities (i.e. Work, School, Etc.):
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Have you ever been convicted of a crime or are you now under charges for any offense against the law?
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Yes
No
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Are you one of the following: a United States citizen, a permanent resident alien, a citizen of American Samoa or any other territory owing allegiance to the United States?
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Yes
No
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Questions/Comments:
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Please Upload At Least One Recent Photograph of Yourself (Must Be Only You). This Will Be Used to Easily Track Completed Forms:
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I certify that all of the statements made on this form as well as the photograph that has been uploaded are true, complete, and correct to the best of my knowledge and belief and are in good faith.
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Yes
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