First Name Last Name City State: Email For which Capitol Gig are you applying? Do you have Comp Cards? What is your MM# URL of your website: Are you Agency Represented? Agency Name Are you an Amateur, Semi-Pro or Professional? Have you submitted to the best Agency in your city? Did they offer to represent you? If they offered to represent you and you did not sign, explain why: Have you been published in Print? List Tears: Are you requesting Management Assistance? Height: Weight: Bust & Cup: (Women) Chest: (Men) Waist: Hips: Inseam: (Men) Shoe Size: How many times have you walked the runway in formal fashion events for money: Realistically rate your runway walk 1 – 10: What type of Modeling do you most want to pursue? Is Modeling your full-time job? If not, what is your current full-time job? List the three magazines you would MOST like to see your work: If you could style, direct and compose the PERFECT image of YOU for submission to the top 5 Agencies in the world, as well as the publications you most covet, what would you shoot? Explain it to us: Clothing you would choose, style you would shoot, et cetera: In 1-3 paragraphs explain the biggest challenges that you have faced while trying to launch your modeling career: Upload Headshot (1MB MAX) Upload Body Image (1MB MAX) Security Code *