Become A Model | QBNW Agency Canada

QBNW Model Application

Information is 100% safe – NEVER shared or sold. If having trouble with form ask dana@qbnw.com for assistance.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

This field is hidden when viewing the form

Primary User ID

This field is hidden when viewing the form

Primary Profile Talent #

Name*

First Last

Gender*

Date Of Birth*

Parent Name/s

This field is hidden when viewing the form

Age

Email*

Enter Email Confirm Email

Address for REAL mail delivery*

Country*

City*

State*

Province*

Postal Code*

Urbanization Code*

Cell Phone*

Work Phone

Home Phone

Height Feet*

Please enter a number from 0 to 8.

Height Inches*

Please enter a number from 0 to 11.

Weight*

Please enter a number from 1 to 500.

Shoe Size*

Eye Color*

Hair Color*

Dress Size

Measurements

Shirt Neck Size

Shirt Sleeve Size

Waist Size

Inseam

Suit Size

Primary Ethnicity*

Secondary Ethnicity

Special Talents

List any special talents you have that are relevant to a modeling job. Example: Singing, Skiing, Sports, Music etc.

Images*

Drop files here or

Accepted file types: jpg, jpeg, heif, png, heic, Max. file size: 15 MB, Max. files: 3.

CAPTCHA