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Model Information Survey Please Type or Print Clearly All Information Kept Confidential Personal Information (Required; Will be Kept Confidential) Name (First & Last): Name To Be Used: All Other Aliases: Other Sites/Publications Appeared In: DOB: Age: Image Categories: Contact Information (Required; Will Be Kept Confidential) Address: Phone Number & Type (home, cell, etc.): Email Address: Instant Messenger ID(s) & Type (i.e.: AIM, Yahoo, MSN, etc.): Website: Online Portfolio(s) (OMP, Myspace, ModelMayhem, etc.): Physical Description (Not Required, but Highly Recommended) Ethnicity: Height: Weight: Measurements (bust/waist/hips): Hair Color: Hair Length: Eye Color: Eyeglasses &/or Contacts: Piercing &/or Tattoos (Please Describe): Scars, Birthmarks, or Any Other Distinguishing Characteristic(s) (If Yes, Please Describe): Make-Up & Costume (Also Recommended) Pant Size: Shirt & Jacket Size: Dress Size: Shoe Size: Bra/Lingerie Size: Swimsuit Size: Are You Able & Willing to Do Your Own Make-Up? : Are You Able & Willing to Do Your Own Hair Styling? : During the Shoot Would You Be Comfortable/Willing to Wear The Following Wig: Theatrical Costume: Theatrical/Stylized Make-Up: Mask: Body Paint: Liquid Latex: Location & Availability (Helpful In Planning the Shoot) Would You Be Willing To Do An Outdoor/Location Shoot?: Would You be Willing To Do A Shoot In &/Or Around Water (Beach, Bathtub, etc.)?: Would You Prefer An Outdoor/Location Shoot or A Studio-Based/Indoor Shoot?: Are You Able/Willing To Travel If The Shoot Should So Require (If Yes How Far)?: Would You Be Willing To Shoot At Any of These Odd Times? Early Morning/Dawn: Early Evening/Sunset: Late Evening/Night: Please Indicate Below the Times During Which You Would Be Available & Willing To Do A Shoot Monday: Tuesday: Wednesday: Thursday: Friday: Saturday: Sunday: Miscellaneous Information (To Help Me Get to Know You Better) Favorite Color(s): Favorite Music: Favorite Food/Candy: Hobbies: Interests: Likes: Dislikes: Name the one thing about yourself that is the most unique &/or interesting: Any Additional Information?
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