Avanti Model and Talent Management

Date		Age
Name		E-mail
Home Phone		Cell Phone
Do you have transportation?		Weight
Eye Color		Height
Shoe Size		Hair Color
Name of Employer (or School)
Measurements (females only)
Bust	Hips
Waist	Dress Size

Information
Do you have any previous training?		If so, where?
When?		Division
List all current professional modeling or acting experience:
Are you currently listed with an agency?		If so, who?

By submitting this form I hereby acknowledge I am participating in this of my own free will and understand I may be rejected for management at Avanti Model and Talent. I am not a paid or non-paid member of the media and am submitting this for the purpose of an interview for possible management representation or additional modeling and acting skills and techniques with Avanti and for no other reason. I hereby acknowledge that by inputting my name below and submitting I have signed this application, and all information is correct to the best of my knowledge.