Model Information Survey by b39eXK


									                                   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)

Phone Number & Type (home, cell, etc.):
Email Address:
Instant Messenger ID(s) & Type (i.e.: AIM, Yahoo, MSN, etc.):
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:

Miscellaneous Information (To Help Me Get to Know You Better)
Favorite Color(s):
Favorite Music:
Favorite Food/Candy:





Name the one thing about yourself that is the most unique &/or interesting:

Any Additional Information?

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