HIGH SCHOOL SENIOR MODEL APPLICATION
First Name
Last Name
Email
Phone
Address
Address Line 1
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City
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
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Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
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Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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State/Province
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AA
AE
Alabama
Alaska
American Samoa
AP
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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Guam
Hawaii
Idaho
Illinois
Indiana
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Kentucky
Louisiana
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Maryland
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Northern Mariana Islands
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Puerto Rico
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South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Birthday
What high school do you attend?
Unique Qualities / Features / Skills
example: freckles, ballerina, tattoos, guitar player, football player, anything that you believe makes you different! :)
Your Answer
Do you have clothing that you believe would photograph beautifully or fit any type of theme? Describe here. Example: Long gowns, ballet / dancing attire, uniform, etc.
Your Answer
Availability
What day of week works best for you?
Select
Select
Sat or Sun
Mon - Fri
Any day
Have you visited the Jennifer Gracin Photography website? (www.jennifergracin.com) If yes, is there any specific photo / style that you are drawn to or you like best?
Your Answer
Have you been professionally photographed before? If yes, by whom. Please describe your experience.
Your Answer
Please share your faves:
Music
Hobbies
Places to Eat
Drinks & Snacks
Anything else you would like to share?
In not selected for this Creative Session, would you like to be contacted if any future needs arise?
Your Answer
Checkbox Description
true
false
Would you like to be added to my newsletter list?
Checkbox Description
true
false
I understand that in order to participate in this creative session, I must have a parent or guardian give permission. My parent must also sign a model release which grants Jennifer Gracin Photography the right to use and publish photos and video created during the session for any advertising, display, publication, marketing, competition, and/or other studio purposes.
Yes, I understand that the photos or videos created will be used for any studio purposes.
No, I do not wish for the photos to be used.
Parent / Guardian Name
Last Name
Phone
YOU ARE FINISHED!
Thank you so much for taking time out of your day to fill out this questionnaire. Please forward a picture of the Junior that is applying. We are looking for all different sizes and ethnicities for this senior model project.
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