Name
Name
*
First
Last
Email
*
Your Phone Number
Your Phone Number
*
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Parent(s) Name
*
Parent Email(s)
*
Parent Phone Number(s)
*
Address
Address
*
Street Address
Address Line 2
City
Select a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province / Region
Postal / Zip Code
United States
Country
High School Name
*
Graduation Year (Must be 2018)
*
Referred/Nominated By:
Facebook Profile URL
Instagram Username (@name)
*
Twitter Username (@name)
*
How often do you use social media?
*
Complete Stalker - Use it all the time!
Get on when I can
I check in now and then
I never get on
Which social media do you use often?
*
Instagram
Facebook
Twitter
Snapchat
Vine
Other
My interest level at this time is:
*
HUGE! I can't wait to get started!
Pretty big, but I'm kind of nervous about the whole thing.
Hrmmm, I could take it or leave it.
I'm just really bored, so I thought I would fill this out to see if I can get picked for an interview.
What activities are you involved in?
*
If you could plan a dream shot (like something from a magazine) what would it be?
*
What are your plans after you graduate?
*
Who are five other junior friends that you think would love to be a part of our model program too? Please list their names, Instagram names and the schools they go to.
*
In your opinion, what sets Chantal Brown Photography apart from other photographers in the area?
*
I am looking for seniors who are going to spread the word. How would you help us spread the word about Chantal Brown Photography?
*
Do you know anyone who has been photographed by us? If so, who?
What size T-Shirt do you wear?
*
What size T-Shirt do you wear?
Small
Medium
Large
Both I and a parent/guardian have read and understand the CBP Model Program Policy and abide the policy if chosen as a model. I understand that this application will be reviewed by Chantal Brown and is not a guaranteed acceptance into Class of 2017 Senior Model Program.
*
Both I and a parent/guardian have read and understand the CBP Model Program Policy and abide the policy if chosen as a model. I understand that this application will be reviewed by Chantal Brown and is not a guaranteed acceptance into Class of 2017 Senior Model Program.
AGREE