Model/Actor Application Form

First Name Last Name M.I.

Address Phone

City State Zip Code

Email Cell Phone

Driver’s License

Are you a US Citizen? If No, Do you have a Green Card?

How did you hear about us?

Age Date of Birth Gender

Waist (inches) Hips (inches) Height (inches) Weight (lbs)

Chest/Bust Size Bust Cup

Hair Color Hair Length: Short Medium Shoulder Length

Long Very Long Bald

Eye Color Skin Color Shoe Size

Dress Size Ethnic Descent: African American Asian American

African Asian Aboriginal
Experience: No Experience Caucasian Eastern Block
Some Experience Hispanic Indian Middle Eastern
______Experienced Native American Polynesian
______Very Experienced
______Advanced

Professional Status: Amateur Semi-Professional _______Professional

Modeling Fields of Interest:

______Print/Editorial _____Casual ____Fine Art _____Runway _____Swimwear

______Artists ______Fashion _____Hair _______Lingerie/Underwear
_____Parts Modeling _____Glamour ____Sport/Fitness ____Artistic Nude (18 & older)
_____Web _____Advertising _____Magazine Print ______Tradeshow Appearances

Music Fields of Interest:

____Singer _____Performance Artist Instruments Played:____________________

Acting Fields of Interest:

____Extreme Sports ______Stage Acting _______Feature Film _____ Short Film

___Voice Over Talent ___Commercial Acting ___TV Acting Industrial (Training
Films)

Dance:

____Classical ____Contemporary (Hip Hop) ____Other: _____________________

List Last 5 Jobs/Events:

1.
2.
3.
4.
5.

Do you speak another language? ____________________

Professional Affiliations

_______AFTRA _______SAG ______NATAS

Worth Noting:

______Braces _______Glasses _______Hearing Impaired _______Handicap

Personal Web Page _________________________________

Special Information (skin blemishes, tattoos, etc)

General Comments (Describe your interests, types of assignments etc.):

Credits/Awards/Background Info etc.:

Include any jobs, awards, or acknowledgments here.