Beutler & Associates Fine Portraits Online

Please take a moment to fill out as much information as possible below. After completing this form, please hit "Submit" at the bottom. A representative from Beutler and Associates Fine Portraits will contact you shortly to setup an interview and mini photo-shoot. A parent must attend this meeting.

Thanks again for visiting Beutler and Associates Fine Portraits online. We look forward to meeting you.

PERSONAL INFORMATION

Today's Date
First Name		Last Name
Address and Street		City State
Home Phone		Cell Phone
Email Address		Parent's Email
MySpace Address		FaceBook Address
Height		Weight
Size		Hair color
Eye Color

EDUCATION

High School		Class Of
School Activities, Hobbies, or Interests		GPA

JUNIOR FRIENDS
Please list three junior class friends (Does not have to be from your high school)

Name
Address and Street		City State
Best Phone		Email Address
High School		Class Of


Name
Address and Street		City State
Best Phone		Email Address
High School		Class Of


Name
Address and Street		City State
Best Phone		Email Address
High School		Class Of

JOB EXPERIENCE

Place		Date Range	(Month/Year - Month-Year)
Place		Date Range	(Month/Year - Month-Year)

INITIAL QUESTIONS

Tell us why you would be a good candidate for our modeling program.

Would you like your images displayed at Beutler Fine Portraits?

Would you be willing to participate in our fashion show?