| PERSONAL INFORMATION: |
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| First Name: |
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| Last Name: |
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| Gender: |
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| Date of Birth: |
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| Address Street 1: |
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| Address Street 2: |
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| Country: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Cellular Phone: |
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| Home Phone: |
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| Email: |
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| Web-Site URL: |
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| MySpace URL: |
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| FaceBook URL: |
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| Other Social Community or Networking Site: |
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| Languages: |
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| Languages2: |
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| STATS: |
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| Height ( Ft. / In. ): |
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| Weight ( lbs ) |
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| Bust Size ( In. ): |
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| Cup Size: |
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| Hip Size ( In. ): |
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| Hair Color: |
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| Multi-Color / Other: |
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| Hair Length: |
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| Eye Color: |
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| Teeth: |
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| Ethnicity: |
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| Please Supply us with Two Photos Preferably a Head Shot and a Body Shot. If You Do Not Have Links to your Photos Email Them to Centerfoldz@gmail.com with the Subject (RE: Mod App.): |
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| Modeling Experience: |
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| Fashion Type
( If Experienced )
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Print |
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Promotional |
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Editorial |
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Runway |
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Catalog |
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Fitness |
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Body part |
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Showroom |
| Glamour type |
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Lingerie / Swinsuit |
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Art / Nude |
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Adult Modeling |
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Exotic Dancing |
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Other |
| Other Experience: |
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| WHAT TYPE OF MODELING ARE YOU INTERESTED IN PURSUING?: |
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-Print |
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-Hosting |
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-Fashion |
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-Promotional |
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-Lingerie / Swinsuit |
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-Other |
| -Other Explain: |
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| Do You Have a Passport?: |
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| Motion Sickness? |
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Airplane |
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Boat / Ship |
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Other Transportation |
| Explain Transportation Sickness: |
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| Education: |
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| Ever Been Arrested?: |
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| Explain the Arrest ( If Yes ): |
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| Ever Been Convicted of a Felony?: |
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| Explain Felony ( If Yes ): |
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| To The Best of Your Knowledge Do You Have Any Communicable or Highly Contagious Diseases?: |
( Optional ) |
| Explain Condition ( If Yes ): |
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| SPECIAL SKILLS: |
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| Dancing: |
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| Singing: |
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| Bartending: |
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| Photography: |
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| Videography: |
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| Make-up Artist: |
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| Waitress / Waiter: |
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| Promotions / Marketing: |
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| Other Skill: |
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I herby contest that all the information being submitted is True!
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YES TRUE! |