AGENCY INTERACTIVE
General Information
 
* Indicates Required Information
 
 General Information:
 
 * Name:     First       Middle Initial       Last  
 
 * Address:   * City:    * State:     * Zip:  
 
 * Home Phone:   Work:    Cell:    E-mail:  
 
* Name of School:    * Grade Completed:  
 
 Place of Employment:   * Birth Date:     Year
 
 
 Experience:
 
 * Check ALL Areas in which you have Experience:
 Runway       Fashion
 Television       Radio
 Print       Acting
 Trade / Promotional Shows
 None of the Above
 
 Please List Any Other Experience You May Have:  
 
 
 Personal Information:
 
* Height:  ft. in.  * Weight:    * Shoe Size:    * Hair Color:  
 
* Eye Color:    * Dress/Suit Size:    
 
Shirt (neck):    Slack (waist):    Inseam (length):    Ring Size:  
 
* Measurements:  Bust  in.  Waist  in.  Hips  in.
 
 
 * How Did You Hear About XPO Models and Talent:       
 
 
 Parental Information:   (required if under age 18)
 
 Mother's Name:   Occupation:    Work Phone:  
 
 Father's Name:   Occupation:    Work Phone:  
 
 Name of Guardian:   
 Submit Picture:
 
Select Picture File   
 
 
    
 

300 Distillery Commons, Suite 410  /  Louisville, KY 40206  /  502.589.7771