BAZUBA Magazine Model Information Form

Personal Information

First Name   Middle Initial   Last Name

School University of Central Florida Rollins College Valencia Community College Seminole Community College FullSail FAMU Law Barry Law Duke University UNC NC State NC Central Meredith College St Augustine San Diego State University of San Diego UCSD Cal State San Marcos Mesa College Grossmont College San Diego City College Southwestern Community Point Loma Nazarene Western School of Law Other

Year in School Freshman Sophomore Junior Senior 2nd Year Senior Grad 1 Grad 2 Grad 3 Grad 4 Grad 5

Address (Campus Mailbox OK)

Street

City    State CA FL GA IL LA MA NC NY OH PA TX VA     Zip

Home Phone    Cell Phone

Email

Modeling Info

Do you have any modeling experience? YesNo

Are you comfortable in a bathing suit? (Girls) Yes No N/A

Height 5'0'' 5'1'' 5'2'' 5'3'' 5'4'' 5'5'' 5'6'' 5'7'' 5'8'' 5'9'' 5'10'' 5'11'' 6'0'' 6'1'' 6'2'' 6'3'' 6'4'' 6'5''                   Weight 98-110 lbs. 111-120 lbs. 121-130 lbs. 131-140 lbs. 141-150 lbs 151-160 lbs. 161-170 lbs. 171-180 lbs. 181-190 lbs. 191-200 lbs. 201-210 lbs. 211-220 lbs.  

Body Type Thin Slender Curvy Athletic Muscular

Pant Size (Girls) 3/4 5/6 7/8 9/10 11/12

Hair Color Blonde Brown Red Black     Hair Type Short Long Short-Straight Short-Curly Long-Straight Long-Curly Afro Bald    Eye Color Brown Blue Green Hazel Gray   

Referred By: Jacqo Amy Tig Dat Other   If other, please specify

Other info you would like us to know: