ADULT PHOTOGRAPHY MODEL QUESTIONAIRE – MALE

FOR OFFICE USE ONLY

Application No. ____________
Accepted Date:____________
Photographer:_____________

Please complete and sign the following questionnaire to be considered as an adult model by our
photographers. Please note that in order to apply, you MUST be eighteen (18) years of age or older,
and you MUST be able to produce to us a valid state-issued photo identification card for purposes of
our compliance with 18 USC 2257 and /or 18 USC 2257A Records keeping laws BEFORE the first
session.

A. DEMOGRAPHICS

Name: ________________________________ DATE OF APPLICATION: ___________

Date of Birth (MM/DD/YYYY) : __________ Email: _____________________________

Phone No. : ____________________ ____ HOME ___CELL

Address (NO PO Boxes) :_____________________________________________________

City: ___________________ County: _______ State: _______ ZIP: _________________

State-Issued Photo ID No. : _________________________ State of Issue: ______________

Height: ___ Feet ___ Inches Weight: ____ Lbs. RACE: ____________________________

B. SEXUAL ORIENTATION

____ GAY ___ BIXEXUAL ___ HETEROSEXUAL ___ QUESTIONING

____ OTHER: _____________________________________________________

C. TATOOS

___ NONE ____ ONE OR TWO ____ A FEW HERE AND THERE ____ INKED UP

DESCRIPTION OF TATOOS: ________________________________________________________

D. PIERCINGS

___ NONE ____ ONE OR TWO _____ A FEW HERE AND THERE ____ PIN CUSSION

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 ADULT PHOTOGRAPHY MODEL QUESTIONAIRE – MALE

FOR OFFICE USE ONLY

Application No. ____________
Accepted Date:____________
Photographer:_____________
E. FORESKIN

___ CUT ___ UNCUT

F. PENIS DIMENSIONS

Length: _____ INCHES OR ____ CENTIMETERS

Girth: ____ THIN ___ AVERAGE _____ THICK ____ VERY THICK

G. PUBIC HAIR

___ NATURAL _____ LIGHTLY TRIMMED

___ VERRY TRIMMED ____ COMPLETELY SHAVED

H. BODY HAIR

____ NONE ____ VERRY LITTLE ____ AVERAGE

____ MORE THAN AVERAGE ____ BEAST

I. BODY BULID

____ AVERAGE
____ ATHLETIC
____ SLIM
____ TONED
____ MUSCLUAR
____ VOLUPTOUS
____ OVERWEGHT
____ CURVY
____ OTHER: ______________________________________________

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 ADULT PHOTOGRAPHY MODEL QUESTIONAIRE – MALE

FOR OFFICE USE ONLY

Application No. ____________
Accepted Date:____________
Photographer:_____________

J. DO YOU WORK OUT OR STAY ACTIVE?

___ YES ___ NO If Yes, what sports / activities do you participate in: ________________________
__________________________________________________________________________.

K. HIV STATUS

___ Positive ___ Negative

Date of last HIV test: _____________

L. PREVIOUS MODELING EXPEREINCE

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

M. WHY ARE YOU INTERESTED IN ADULT MODELING?

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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 ADULT PHOTOGRAPHY MODEL QUESTIONAIRE – MALE

FOR OFFICE USE ONLY

Application No. ____________
Accepted Date:____________
Photographer:_____________

O. SEXUAL ACTIVITIES / POSITIONS

___ TOP ___ BOTTOM ___ VERSITILE ___ VERSITILE TOP ___ VERSITILE BOTTOM
___ ORAL WITH MALE ___ ANAL WITH MALE ___ VAGINAL ___ WATER SPORTS
____ S&M ___ ORAL WITH FEMALE ___ ANAL WITH FEMALE ___ SOLO ACTION

___ OTHER: _______________________________________________________________________

__________________________________________________________________________________.

P. PREVIOUS STAGE OR OTHER PRODUCTION NAMES USED AT ANY TIME .

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
.

Q. DESIRED STAGE NAME(S) :

__________________________________________________________________________________
__________________________________________________________________________________

NOTICE AND APPLICATION AGREEMENT

I understand and agree that this application does not extend or constitute an definite offer for
employment as a model, or for any other position. Employment if extended, shall be strictly At Will of the
photographer. I also understand and agree that if any of the forgoing information is determined to be
false or incorrect in any way, that it may result in my not being considered eligible for a modeling position,
or may result in my immediate termination from such a position upon discovery. I further agree to release
any third-party information from state and federal agencies, or from public records, deemed to be
required to verify my identity.

___________________________________________ Date: ___________

APPLICANT SIGNATURE

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