Southern Belles Promotions
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Name *
First and Last Name
Age *
Your Age on the date you are filling out this form
Address *
Full Address:  Street, City, State, Zip Code
Cell *
(XXX) XXX-XXXX
Email *
Check the boxes that best describe your experience. *
Required
On a scale from 1 (lowest) to 5 (highest) rate your status of approaching others. *
Please check all that apply to you. *
Required
Please List Your Education *
Required
T-Shirt Size *
Why Do You Think We Should Use Your Services? *
List 3 Personal References *
Name, Address, Phone
List 3 Professional References *
Name, Company, Phone
Attach Resume, 1 Head Shot, and 1 Body Shot.              Subject line:  Staff (Your First and Last Name) (City/State).              In the body of the email, list only your name and cell phone
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