Training Model Application
Thank you for your interest in being a model for our practical training days for Laser & IPL training. To ensure you are a suitable candidate, please complete this application form and we will get back in touch with you shortly.
Person signing up to be a training model:
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First Name
Last Name
Age range of person
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Please Select
Under 18 - will bring supporting adult
Over 18 years - consenting adult
Please give us your best contact phone number:
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Best contact email address
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example@example.com
Ethnicity - this is relevant as we will select the safest technology to use on you, we can treat all skin colours across all treatment in most cases
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NZ European
Maori
Pasikifica
Middle eastern
Asian descent
Africian descent
European other
South American
South Asian / Indian subcontinent
Other
Consultation and informed consent
A full consultation will be undertaken with you on your first visit, to ensure you understand the treatment, risks associated with it, and give you the opportunity to ask any questions prior to giving us consent to treat you. If you have any concerns or questions that you want to ask, prior to completing this form, please email: stacey@nzlasertraining.co.nz This is a learning / training environment, and you must be happy to have a treatment done in front of a group of trainees which can be a combination of men & women. We do however, actively supervise all treatments carried out by trainees. Trainees are learning, and therefore can be slow. Please be patient and understand that sometimes, on rare occasions we may run out of time to complete the treatment fully. Please let us know if you are limited for time. All treatments carried out by our trainees are done FREE of CHARGE.
Model availability and location - you will need to be available on weekdays and travel to our training venue
We are located inside the Life Healthcare / Cryomed aesthetics building, 10 Cawley Street, Ellerslie. There is free parking on-site or on the street.
A little about the types of treatments we can offer
Laser and IPL treatments - the machine handpiece is applied to the skin and pulses of light energy are applied to the skin. The Laser or IPL light is absorbed by melanin, blood or water which can be found in the hair and skin. Risks are associated with darker skin types and anyone taking photo-sensitising medications, along with those suffering from immune deficiency, slow healing and poor health. The skin should not be sun tanned at the time of the treatment to avoid complications such as unwanted burns, blisters and pigmentary changes. A series of 8-10 treatments may be required for hair removal and 3-5 treatments for varying skin conditions.
Laser Tattoo Removal
Laser Tattoo Removal – these are done using a Q-Switched Laser Machines which work underneath the skin targeting and breaking down the ink in the tattoo. The broken down ink is then absorbed by the body and travels through the lymphatic system. The body needs to be healthy and functioning well during treatments and afterwards to aid the metabolising process, so we do not want your body to be fighting any form of infection, or have a compromised immune condition. The skin must be cared for appropriately 3 - 7 days after each treatment to prevent infection, scaring and pigmentary changes. Depending on ink colour, density of ink, and body location and type of tattoo, you may need anywhere from 8 – 20 treatments. We may not be in a position to completely rid you of the unwanted ink entirely, due to the overall number of treatments needed, but you will see fading. As this is not a working clinic, we cannot guarantee appointments are on-going, which is what will be needed. Our models have experienced great success with their tattoo goals. ** Please note, when tattoo ink is broken up by the laser, it travels through your lymphatic system and we do not know if there are any long term risks to individuals due to this. If you are concerned about this, or want to ask more, please email stacey@nzlasertraining.co.nz
Skin lesions / skin checks and melanoma
A skin check / assessment may be required prior to having IPL or Laser on the desired treatment area. This assessment should be done by a Dermatologist and/or Skin Specialist trained in Dermoscopy. This is to receive medical clearance that no active skin cancers and/or early stage, or suspected melanomas are present in the area that you are wanting to have treated. You will be required to provide proof of your skin check assessment. (eg: a letter from the Dr or Nurse checking your skin/lesions)
The Auckland Council Bylaw, prevents us from being able to treat any person that has had a Melanoma, or has a direct family member that has had Melanoma (past or present). Please confirm whether either, apply to you?
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YES - I have been diagnosed with a melanoma
NO - I have never had a melanoma
YES - a direct family member has history of melanoma
NO - no family history of melanoma
Please note: being on certain medications, having certain medical conditions, recent facial treatments or recent ill health, may prevent us (or delay) us from carrying out treatment. It could also make you at a higher risk of developing unwanted side effects. Please advise us of ANYTHING you take, (either prescribed or non-prescribed), this information is kept private to us and the people treating you. We aim to reduce risk, prevent blisters and burns from occurring that may be a contributed to what you are taking.
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I do not take any medication (prescribed or non-prescribed)
I regularly take the following medication:
Please list any medication that you take regularly (please list everything, no matter how insignificant you think it may be:
Medical conditions we need to know about
Diabetes
Epilepsy
Auto immune disorders
Infections or diseases (eg: Hepatitis, HIV, HPV, Shingles)
Cold sores (active or tingly, or healing)
Collagen disorders
Healing issues
Current melanoma or skin cancers being treated, cut out or under care
Historic skin cancer or melanoma that you have monitored
Cancer treatments - current or past
What areas or types of treatments you are interested in
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I WOULD LIKE HAIR REMOVAL: if you are interested in this treatment, please come to the session UNSHAVED. You must not have waxed or plucked in the 2 weeks leading up to your appointment
I WOULD LIKE VASCULAR IMPROVEMENT: if you are interested in this treatment please upload a picture below or email a picture of your face / area of concern. (Please note: if you are interested in having spider veins on your legs treated - these courses start in 2025)
I WOULD LIKE PIGMENTATION / SUN DAMAGE IMPROVEMENT: if you are wanting to be a model for this type of treatment, you must have you seen a skin doctor to have skin lesions, moles or other pigmented, vascular or skin irritations checked in the past 6 months
I WOULD LIKE LASER TATTOO REMOVAL: if you are wanting this treatment, please upload a picture below or email a picture of your tattoo. An additional instruction sheet will be sent to you to read.
I WOULD LIKE SOMETHING ELSE / NEED ADVICE on what you can help me with
We need a variety of IPL and laser training models with different skin colours, skin types and skin & hair conditions for: (tick which you are interested in)
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Hair removal - Legs
Hair removal - Face areas
Hair removal - Bikini
Hair removal - Underarms
Hair removal - Back & Shoulders
Hair removal - Brazilian or Hollywood
Hair removal - Chest & abdomen
Vascular treatments (rosacea)
Vascular treatment (general "redness" on face, neck or decolletage)
Vascular treatment (facial "capillaries" and/or facial "vessels/veins")
Pigmentation treatment (ageing / sun spots - face)
Pigmentation treatments (aging / sun spots - body areas)
Melasma (hormonal pigmentation)
Acne - Face
Acne - Body
Tattoo removal - any body area
I am not sure and need advice)
Please upload a picture of tattoo or skin concern (where applicable), or email it to: stacey@nzlasertraining.co.nz - stating your name & model application
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MEDIA CONSENT: We utilise before & after pictures for a variety of reasons as part of educating and informing industry laser & IPL operators - please indicate permissions allowed.
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YES, I give permission for you to use my photos/videos for social media only (identity is concealed)
YES, I give permission for you to use photos/video to educate trainees and/or that they may be used on marketing materials including website, brochures, or social channels (identity is concealed)
NO, I do not want my photos/video to be used for any purpose
FORM ACKNOWLEDGMENT
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I have read and understand the information provided on this form by NZ Laser Training Institute, and have completed it with correct and up to date information about myself.
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