Model Application

1
Your Name* This field is required.
First Name
Last Name
2
Your Cell Phone Number* This field is required.
Please enter a valid phone number.
3
Your Email* This field is required.
example@example.com
4
How did you hear about us? Please let us know if you saw a specific promotion/model opportunity that you are applying for.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
5
Please describe what you're expecting out of this experience. Please include your goals and limitations with the [SERVICE(s)] and budget.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
6
Which best describes your hair?* This field is required.Please select all that apply
Virgin Hair - I've never received any color services
I've only ever had highlights -- never any permanent or demi permanent color
Color treated with permanent or demi permanent color
I've had both highlights and color
Box color
There really isn't anything I haven't done to my hair
7
In the last five years, have you had any of the following services?* This field is required.Please check all that apply
Bleaching
Haircolor
Vivid Colors
Henna or other natural color
Box Color
Splat
Color Oops
Sun-In
Perm
Relaxer
8
Please tell us about all chemical hair services you've had done in the past twelve months (both professional and at-home services).* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
As a model, I understand that the entire process will be filmed/photographed. I agree to sign off on a model release form and a photo release form. I understand that I must wear a neutral top and have makeup on.* This field is required.
I agree
I disagree and do not want to participate
10
Please list specific days/times you are available OR Are you available [SPECIFIC DATE/TIME]?
Huge
Large
Normal
Small
Ok
Ok
11
Which best describes your hair?Please select all that apply
Straight
Wavy
Curly
Coiled
Kinky
Density: Extremely Thin
Density: Thin
Density: Average
Density: Thick
Density: Extremely Thick
Length: Above Chin
Length: Between Chin and Shoulders
Length: Between Shoulders and Mid-Back
Length: Longer than Mid-Back
Damaged
Dry
12
Please upload 3-5 photos of your CURRENT hair. Also, please include any inspiration photos, if you have any. If you are unable to upload photos to this form, you may email them to hollybertrandcosmetologist@gmail.com . Thank you!
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
Should be Empty: