EmailMe Form - Model & Talent Submission Form

Name *

First Last

Legal first and last name only (no aliases)

Mailing Address *

Physical mailing address (no email addresses)

City *

State *

Zip Code *

Phone *

### - ### - ####

Email *

Confirm Email

Date of Birth *

MM / DD / YYYY

You must be at least 18 years of age

Website/MM/Social Media/Model Link

Sex Origin *

Female

Male

For assistance, visit: https://en.wikipedia.org/wiki/Sex_and_gender_distinction

Ethnicity *

Height *

Chest *

Waist *

Hips *

Females Only

Cup *

Females Only

Dress *

Females Only

Suit *

Males Only

Shoe *

Eye Color *

Hair Color *

Education Level *

Are you bilingual? If so,
select a 2nd language.

Are you a US citizen or able to work in the US legally? *

Yes

No

Do you have reliable transportation? *

Yes

No

Experience
(Check all that apply) *

Bio / Resume

Professional Images

Please attach 3-4 recent professional photos. DO NOT attach photos taken with your personal digital camera, cell phone or webcam.

Headshot *

Max file size 500KB

Full Length *

Max file size 500KB

Other Image *

Max file size 500KB

Other Image

Max file size 500KB

NOTE: Professional images only.
Submissions without professional photos will be rejected.

Snapshot/Polaroid

You may also attach your best non-professional snapshot (optional). Snapshots should be natural, clear, unretouched and have good lighting.

Snapshot

Max file size 500KB

Portfolios/Videos

You may also include a link to any online portfolios, work samples, videos or reels.

Portfolio or Video Link

References & Emergency Contact

Two professional or work-related references are required. Submissions without references will be rejected. An emergency contact is also required.

#1 Reference Name *

First Last

Title *

Title that best represents the reference

Organization or Company *

Phone *

### - ### - ####

#2 Reference Name *

First Last

Title *

Title that best represents the reference

Organization or Company *

Phone *

### - ### - ####

Emergency Contact *

Name, phone & relationship to you

*

I hereby acknowledge that I am at least 18 years of age, that all of the above information is true to the best of my knowledge and that I own the copyrights to all the attached photos.

*

I agree to all the terms and conditions for use of this form and the website. I would also like to be added to The Pink Light mailing lists.