| Model's Industry Name*: | |
| Model's Date of Birth*: | |
| City Model Represents*: | |
| Agency Name: | |
| Contact Name*: | |
| Address*: | |
| City/State/Zip*: | |
| Contact Phone#*: | Fax #: |
| Email*: | |
| How did you hear about us? | |
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| Model's OneModelPlace #: | |
| Model's ModelMayhem URL: | |
| Model's Myspace URL: | |
| Model's Website URL: | |
| Model's Twitter URL: | |
| Agency Website URL: | |
Bio*: (Tell us about your background, hobbies, and interests, as you would like it to appear in your listing) | |
Measurements*: (chest, waist, hips) | |
| Height*: | |
| Weight*: | |
| Shoe Size*: | |
| Eye Color*: | |
| Hair Color*: | |
| Level of Experience*: | Be specific. Indicate whether you have no professional experience, some experience, professional, etc. This will help us determine what types of jobs you may like to pursue when we have opportunities available within the company. If you are a professional model and just want extra exposure, indicate that here too.
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| Industry Experience*: |
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| Type of Work You Will Accept*: (website, music/promotional video, print ads, spokesmodel, lingerie, etc.) | |
Minimum Required Pay: (Internal Use Only) | per assignment (If you will accept free jobs in exchange for exposure, indicate FREE above.) |
Desired Pay: (Internal Use Only) | per assignment (If you are unsure, enter a pay range) |
| Work Limitations*: (due to existing modeling contract or other commitments) | |
| Photo Submission Notes | We recommend that you submit your best photos, relevant to the types of assignments that you are seeking. These photos will be used for consideration of paid jobs. Photos (up to 5) may also be e-mailed to us at: . |
| Photo 1 URL: | |
| Photo 1 Photographer: | |
| Photo 2 URL: | |
| Photo 2 Photographer: | |
| Photo 3 URL: | |
| Photo 3 Photographer: | |
| Photo 4 URL: | |
| Photo 4 Photographer: | |
| Photo 5 URL: | |
| Photo 5 Photographer: | |
| Terms & Conditions: | |
| I have read and accept the Terms and Conditions |
| NOTE: You must own the copyright or have obtained permission from the copyright owner for all photos submitted.
If you do not have the URL to your photos, you may e-mail them to the address below.
Only one photo is required for a listing, however to increase your chances of getting jobs we suggest you submit 4 of your best.
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