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QBNW Model Application
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Primary User ID
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Primary Profile Talent #
Name
*
First
Last
Gender
*
Female
Male
Date Of Birth
*
MM slash DD slash YYYY
Parent Name/s
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Age
Email
*
Enter Email
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Address for REAL mail delivery
*
Country
*
USA
Canada
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Puerto Rico
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Province
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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
*
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
11.5
12
12.5
13
13.5
14
14.5
15
15.5
16
Eye Color
*
Choose One
Brown
Light Brown
Dark Brown
Green
Dark Green
Light Green
Dark Blue
Light Blue
Blue
Blue-Green
Hazel
Grey
Black
Other
Hair Color
*
Choose One
Blonde
Light Blonde
Dark Blonde
Dirty Blonde
Sandy Blonde
Brown
Light Brown
Dark Brown
Red
Red Brown
Medium Red
Dark Red
Black
Salt And Pepper
Grey
White
Color Varies
Bald
Hair Color
*
Choose One
Blond
Light Blond
Dark Blond
Dirty Blond
Sandy Blond
Brown
Light Brown
Dark Brown
Red
Red Brown
Medium Red
Dark Red
Black
Salt And Pepper
Grey
White
Color Varies
Bald
Dress Size
Measurements
Shirt Neck Size
12
12.5
13
13.5
14
14.5
15
15.5
16
16.5
17
17.5
18
Shirt Sleeve Size
29
30
31
32
33
34
35
36
37
38
Waist Size
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
Inseam
30
31
32
33
34
35
36
37
Suit Size
34S
34R
35S
35R
36S
36R
36L
37S
37R
37L
38S
38R
38L
39S
39R
39L
40S
40R
40L
41S
41R
41L
42S
42R
42L
43S
43R
43L
44S
44R
44L
45S
45R
45L
46S
46R
46L
47S
47R
47L
48S
48R
48L
49S
49R
49L
50S
50R
50L
51R
51L
52R
52L
53R
53L
54R
54L
55R
55L
56R
56L
57R
57L
58R
58L
Primary Ethnicity
*
Choose One
Black or African American
White
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Secondary Ethnicity
Choose One
Black or African American
White
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Special Talents
List any special talents you have that are relevant to a modeling job. Example: Singing, Skiing, Sports, Music etc.
Images
*
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Select files
Accepted file types: jpg, jpeg, heif, png, heic, Max. file size: 15 MB, Max. files: 3.
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