Model Application

You must print out these (2) two pages and mail it along with your picture to the address below:

Please be sure to print all your information clearly

Please include (2)Two photos: At least (1) in 3/4 or full length shot in two piece swimwear.


393 Old Country Road, Suite 100, Carle Place, NY 11514    Tel (516) 443-6900 or (516) 876-2500 Fax (516) 338-5798

Name________________________ Date of Birth _____________________________

Address______________________    Town_________________________________

Home #______________________    State/Zip_____________________/__________

Cell #______________________    Email_______________________@____________


Height_________     Weight_________    Eyes________    Hair__________

             Bust________   Waist________    Hips_________   Pants __________

Dress________          Swimsuit________________      Shoe _________

Tattoos_________________________      Body Piercings______________________


Four Words That Describe You__________________________________________

Favorite Make-Up__________________ Shampoo________________ Designer____________


Please place a number 1 in areas you have experience, a number 2 in areas of interest

Trade Shows____  Liquor Promotions____   Spokes Model____

Print___       Runway____      Swimwear____    Fitness_____

Dance_____  Commentary____    TV/Film_____

Are you under any modeling contracts?____________________________________________________

If Exclusive, with who?________________________________________________________________



 For valuable consideration, the receipt of which is hereby acknowledged, I hereby irrevocably consent to, and authorize the use and reproduction by you, and anyone authorized by you, of any and all photographs which you have taken of me or have arranged to be taken of me or which I have submitted to you, negative or positive, for any purpose whatsoever, and shall constitute your property, solely and completely, to use, reproduce, edit, exhibit, project, display, copyright, publish, sell, develop, circulate, and authorize dispose all without any further compensation to me.

 I hold University Girl Model Search, it's assigns, sponsors, and associates, including but not limited to, New York City Marketing & Promotions, Inc., blameless and without liability in connection with my participation in the University Girl Model Search and related events.  I do assume all responsibility for myself, my behavior, and my well being for the duration of and traveling to and from any of the University Girl Model Search events. I will act responsibly at all times. I will abide by all rules and regulations, failure to do so will risk disqualify me from any and all participation. I understand that this is the sole discretionary call of any of the model search representatives. I am aware that if I compete at an event and qualify to participate to go to the finals, it is the establishments responsibility for my air travel only if the location is more than 4 hour from a) where the event took place or b) more than 4 hour from where I live. If the establishment fails to provide travel it is my sole responsibility to make arrangements at my own cost. Failure to do so will result in forfeit and return of any and all prizes, contracts and/or cash I may have received or will receive.

 I hereby warrant that I am 18 years of age and have the right to contract in my own name.  I have read all the above authorization, release, and agreement prior to it's execution, and I am fully familiar with the contents thereof.  This release shall be binding upon me and my heirs, legal representatives, and assigns.


 Full Legal Name______________________________________________




Date of Release_________________E-Mail_________________________