PMU Model Application
Complete this application to be considered for Kris’s PMU apprenticeship with JBE BEAUTY—submission doesn’t guarantee booking.
Contact Information
Full Name
*
First Name
Last Name
Age
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Instagram Handle
Select your preferred time(s)
Tuesday, October 27, 2026 — 11:00 AM
Tuesday, October 27, 2026 — 2:00 PM
Monday, November 2, 2026 — 11:00 AM
Monday, November 2, 2026 — 2:00 PM
Tuesday, November 10, 2026 — 11:00 AM
Tuesday, November 10, 2026 — 2:00 PM
Tuesday, November 24, 2026 — 11:00 AM
Tuesday, November 24, 2026 — 2:00 PM
Service Requested
Requested Service
*
Nano Brows
Powder/Ombré Brows
Not sure
Have you had previous PMU or tattooing in the treatment area?
*
Yes
No
Privacy notice: This form collects sensitive health information only to assess PMU eligibility and procedure safety. Access should be limited to authorized personnel, and submission does not create a physician-patient relationship.
Upload clear, makeup-free photos of the treatment area
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Health & Contraindication Screening
Are you pregnant or could you be pregnant?
*
Yes
No
Are you currently breastfeeding?
*
Yes
No
Have you used Accutane or isotretinoin in the past 12 months?
*
Yes
No
Do you take blood thinners or have a bleeding or clotting disorder?
*
Yes
No
Do you have diabetes or another condition that affects healing?
*
Yes
No
Do you have an autoimmune or immunosuppressive condition, or take related medication?
*
Yes
No
Have you had chemotherapy or radiation recently?
*
Yes
No
Do you have a history of keloid or hypertrophic scarring?
*
Yes
No
Do you have active eczema, psoriasis, dermatitis, or another inflammatory skin condition in the treatment area?
*
Yes
No
Do you have an active infection, rash, wound, irritation, acne breakout, or sunburn in the treatment area?
*
Yes
No
Are you currently ill or running a fever?
*
Yes
No
Are you taking antibiotics or recovering from recent surgery?
*
Yes
No
Do you have a heart condition or pacemaker that may affect treatment?
*
Yes
No
Do you have an uncontrolled seizure disorder?
*
Yes
No
Do you have allergies or past reactions to tattoo pigment, lidocaine, latex, adhesives, metals, or other procedure products?
*
Yes
No
Have you had Botox or filler near the treatment area recently?
*
Yes
No
Have you had a recent chemical peel, laser/IPL, microneedling, or dermabrasion near the treatment area?
*
Yes
No
Have you used prescription retinoids or strong exfoliants near the area recently?
*
Yes
No
Do you have any other condition or medication that could affect bleeding, immunity, skin integrity, or healing?
*
Yes
No
If you answered Yes to any health question, please tell us which ones and add any details.
*
Acknowledgments/Consent
Acknowledgments
*
Model fee is $200
Submitting this application does not guarantee an appointment
Final eligibility is determined after review and may require postponement or medical clearance
I agree to provide accurate health information and notify the artist of any changes
I consent to being contacted about my application
Before/After Photo & Social Media Consent
I consent to the use of my before/after photos in portfolio and social media
This consent will not affect my treatment eligibility
Applicant Signature
*
Thank you!
Submit Application
Submit Application
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