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• Basic Information
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  First Name:	Required
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  State:	Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
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  Country:	United States Canada Japan United Kingdom Australia Germany France Switzerland Italy Netherlands Albania Algeria American Samoa Andorra Anguilla Antartica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Botswana Bouvet Island Brazil British Indian Ocean Terr. Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Isl Colombia Comoros Congo Cook Isl Costa Rica Cote D'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Isl. (Malvinas) Fiji Finland France French Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey, C.I. Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Isl Honduras Hong Kong Hungary Iceland India Indonesia Ireland Isle of Man Israel Italy Jamaica Japan Jersey, C.I. Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxemborg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Isl Martinique Mauritania Mauritius Mexico Micronesia Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Isl Northern Mariana Isl Norway Oman Pakistan Palau Panama Panama Canal Zone Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts & Nevis Saint Lucia Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon St. Vincent & Grenadines Suriname Svalbard & Jan Mayen Isl Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks and Caicos Isl Tuvalu U.A.E. U.S.Minor Outlying Isl Uganda Ukraine United Kingdom Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Isl (British) Virgin Isl, (U.S.) Wallis & Futuna Islands Western Sahara Yemen, Republic of Zaire Zambia Zimbabwe Serbia
  Gender:	- Male    - Female
  Ethnicity:	Select African American Asian Caucasian Hispanic Indian Middle Eastern Mixed Race/Multi Ethnic Native American
  DOB:	January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

• Lecture (choose all that apply)
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  diversity event emcee team building motivation	Experience: 0-3 years 3-5 years 5-10 years 10+ years
  Model (choose all that apply)
  commercial fashion fitness print	Experience: 0-3 years 3-5 years 5-10 years 10+ years
  Talent (choose all that apply)
  other musician/band dj comedian	Experience: 0-3 years 3-5 years 5-10 years 10+ years

• Description (to be completed by prospective models)
  Save your info, then go to samples
  Height:	ft. in.	Weight:	lbs.
  Hair:	Select Black Blonde Brown Dark Blonde Dark Brown Grey Light Brown None Red Red/Auburn Salt & Pepper Silver Strawberry Blond	Eyes:	Select Brown Blue Green Grey Hazel
  Waist:	Select 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50	Shoe:	Select 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14
  Suit:	Select 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 Select S R L	Neck:	Select 14 14.5 15 15.5 16 16.5 17 17.5 18
  Sleeve:	Select 30 31 32 33 34 35 36 37 38	Inseam:	Select 28 29 30 31 32 33 34 35 36
  Miscellaneous (to be completed by all, if applicable)
  Union:	Non-Union SAG Aftra Fi-Core Taft Hartley	Dialect:	Select German French Portuguese Chinese Spanish British Greek (Voice)
  		Ear Prompter:
  		Teleprompter: