2021 - 2022 Senior Model Application
Please fill out this form to apply for the senior model call!
Senior's Name
*
First
Last
Senior's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Senior's Email
*
example@example.com
Name
First Name
Last Name
High School
*
Graduation Year
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Facebook ID:
*
Instagram ID:
*
How did you hear about the Senior Model call?
*
Friend/Family
Instagram
Facebook
Tell me more about yourself
3 words YOU would use to describe yourself:
*
3 words your friends would use to describe you:
*
Extracurricular Activities (include sports, clubs, organizations, accomplishments) and hobbies:
*
Tell me why you would be a good candidate for the SENIOR REP & MODEL program. How would you help spread the word about APM PhotoGraphie?
*
Tell me what you'd like for your photos
Tell me 2 locations where you'd like to be photographed:
Let me know at least 1 styled / themed shoot you'd like to do.
Requirements for Senior Rep & Models
The following terms are REQUIRED to be chosen for the SENIOR REP & MODEL program.
If chosen, are you willing to sign a Model Release form?
*
Yes
No
Can APM PhotoGraphie use your images for portfolio, advertising, promos, and marketing purposes?
*
Yes
No
If chosen, the Senior understands they cannot represent or take senior pictures with any other photographer or photography studio during their senior year.
*
Yes
No
SENIOR SIGNATURE: Signing below, I certify that my answers are true and complete. I have reviewed this application process with my parent/legal guardian. If accepted, I understand that false or misleading information in my application may result in my release from the program. I further understand that there is a fee to participate in the SENIOR REP & MODEL Program (varies based upon level chosen).
Parent/Guardian Contact
Please provide parent/guardian contact information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Parent / Guardian Signature: Signing below, I certify that the answers of my senior are true and complete. I have reviewed this application process with my senior. If accepted, I understand that false or misleading information in the application may result in the release of my senior from the program. I further understand that there is a fee to participate in the SENIOR REP & MODEL Program (varies based upon level chosen).
Please verify that you are human
*
Submit
Should be Empty: