Model Web Site Design Information

This form is for both models and their representatives. If you are the representative, please answer the questions as if you were the model. Please answer all questions before submitting this form.

Personality Information
#1. What makes you different?
	I show people a clear picture when I model. They can see I have a great unique look.
	I feel like people can really sense and feel the emotions I give off.
	I think people can hear what I say with my work. They can understand what my body tells them.
#2. What does your future hold?
	The world will see my look and instantly see a top model.
	I feel I can be a powerful force in the modeling world. People will love me.
	I think that in the future I can prove what I already know, I'm a great model.

How long have you been modeling?
Have many photos do you have?
What's your dream cover?
Magazine not listed? Write it here:
What's your favorite color?
Color not listed? Write it here:
Personal Information
What's your gender?
What is your birthday:
What's your ethnicity?
Ethnicity not listed? Write it here:
Eye color:
Hair color:

Measurements
Weight:	lbs	Height:	feet inches
Chest:	inches	Waist:	inches
Hips:	inches	Overarm:	inches
Neck:	inches	Sleeve:	inches
Inseam:	inches	Outseam:	inches
Dress:		Shirt:
Suit:		Shoe:

Agent or Representative Information
Full name:
Phone Number:	() -
Contact Information
Your full name:
Address:
Address - Line 2:
City:
State / Province:
Zip / Postal Code:
Country:
Email Address:
Phone Number:	() -