CHIOMA ONLINE MODELING SIGN-UP FORM
* Fields in red are REQUIRED

SCOUT REFERRAL

Chioma Modeling only accepts Evaluations if you are referred by one of our model scouts.

I was referred by model scout:

PERSONAL INFORMATION

First Name:

Last Name:

Address:

Apt. #:

City:

State: Zip:

Phone:

E-mail:

STATISTICAL INFORMATION

I am a: Female  Male

Would you consider the shape of your face long or wide?  Long   Wide

Do you have good, clear skin? (no permanent blemishes, cuts, sores, or pimples)
  Yes   No

Are your features even? (Nose straight, ears even, eyes on an even plain, symmetrical face)
  Yes  No  Unsure

Do you have good teeth? (teeth must be even and have no cracks, chips or breaks. No visible caps.)   Yes  No

Do you have tattoos? Yes  No If yes, where?

To the best of your ability, tell us why you think you will be successful as a model.

WOMEN

Age: Height in Feet: Inches: Ethnicity: Shoe Size: Hair Color: Eye Color:
Dress Size: Build: Waist: Hips: Bust/Cup size: Complexion:

MEN

Age: Height in Feet: Inches:
Ethnicity: Shoe Size:

Hair Color: Eye Color:
Suit Size: Build:

Waist: Inseam:Shirt Size: Complexion:

INTERVIEW TIMES

What is the best time we can contact you?

Today:   Tomorrow:

Times available are 9am to 6pm CST (remember to allow for your time zone)

PHOTO SUBMISSION

In order to be evaluated we must have at least (3) pictures that are 200dpi and 800 x 1000 pixels (4’ x 6’). One picture must clearly show your face (including teeth) and one must show your body. No nude or revealing pictures please.
Online: Please email photos to photo@chiomarecords.com
or
Mail To: CHIOMA MODELING • P.O. BOX 5359 • AKRON, OHIO 44333

The purpose of these modeling pages and this entire site is for the self promotion of the models. Chioma Modeling does not in any way imply agency, contract or ownership of photographs or models featured throughout this entire site. All photographs and  images in these pages are copyright to the model, photographer, or agency and Chioma Modeling has received permission by the model to use these images for her/his self promotion only. If any images, photographs or statements are a concern of copyright or trademark infringement, please contact webmaster@chiomarecords.com for immediate response and compliance.

  By clicking here and submitting application should I be accepted by chiomarecords.com, I agree to abide by the Terms and Conditions stated herein.