Senior Model Application

Name: _____________________________ Email: _____________________________

Address: _______________________________________________________________

City: _________________ State: __________________ Zip: ______________________

Phone Number: ______________________ School: ____________________________

Extra Curricular Activities (Include offices held, sports, clubs, and organizations)

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

In your own words, why should you be chosen as an Ambassador?

_______________________________________________________________________

______________________________________________________________________

Parent/Guardian Name(s): _________________________________________________

Address (if different): _____________________________________________________

City: _________________ State: __________________ Zip: ______________________

                Please note that very few students will be selected this year to be Models. We are looking for well rounded students with outgoing personalities,  who have a large desire to show off their images. Please understand we cannot select everyone.

I have read and understand the program and deadlines for the ambassador program through Photography by Lloydlee Heite and agree to participate to the best of my ability.

    ____________________________________________ ____________

                                    Applicants Signature                                    Date       

  ___________________________________________________ ____________

              Parent/ Guardian Signature (REQUIRED)                           Date

 

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Photography By Lloydlee Heite

10277 Sunnyside Rd

Bridgeville, De 19933

302-682-7000

lloydlee@lloydlee.com