2017 Senior Model Application Form
Submit Form
Full Name
*
E-mail
*
Address
Home Phone
Cell Phone
Date of Birth
Name of High School
Year Graduating
What extra curricular activities are you involved in?
Describe your personality, what defines who you are?
Do you agree to ONLY be photographed by Rickers Photography Studio if chosen?
Do you feel you are a good influence on your peers? Why?
Please upload a resent picture of yourself
Should be Empty: