"Le Modeln Inc. - A Full Service Model and Talent Agency"

Last Name:
First Name:
Stage Name:
Gender:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Pager:
Fax:
SSN:
Alt Contact Name:
Alt Number:
DOB:
Glasses:
Contact Lenses:
Email:
Height:
Weight:
Hat Size:
Shoe Size:
Glove Size:
Pierced Ears
Hair Color:
Hair Type:
Eye Color:
Complexion:
Ethnic Origin:
Other Ethnic:
Men Slacks:
Men Inseam:
Men Waist:
Men Sportswear Size:
Men Shirt Size:
Men Jacket/Suit Size:
Boys Clothes Size:
Women Swimwear: Size
Women Waist:
Women Dress/Pants Size:
Womens Hips:
Womens Bra Size:
Womens Cup Size:
Girls Clothes Size:
Member of SAG:
Member of AFTRA:
Member of EQUITY:
Answer "Yes" to all the items below that you have experience with.
Runway Work:		Yachting:
Voice Over Work:		18 Wheeler:
Demo Work:		Accents:
Modeling Work:		Entertainer:
Acting Work:		Comedian:
On Camera Work:		Horse Back:
Travel Experience:		Waterski:
Live Performance:		Dancer:
Student:		Teleprompter:
College Degree:		Ear Prompter:
Smoker:		Pro Athlete:
Pilot:		Swimmer:
Driver:		Skater:
Motorcycle:		Tennis:
Bicycle:		Scuba Dive:
Stunts:		Sky Dive:
Singer:

Vocal Range:
Languages:
List Languages:
Musician:
List Instruments:
Other Talents:
Work History: