2011 SENIOR SPOKESMODEL APPLICATION

If you are currently a High School Junior interested in representing SUSANN SAAREL SENIORS as a Senior Spokesmodel, please complete the information below:

Applicant's Name * First Last
High School and Graduation Date *
Email *
Cell Phone * - (###) - ### ####
Home Phone * - (###) - ### ####
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
PARENT/GUARDIAN INFORMATION
Parent/Guardian Name * First Last
Parent/Guardian Email *
Parent/Guardian Phone * - (###) - ### ####
Parent/Guardian Address (if different from Applicant's)
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Do you have your parent's permission to participate? * Yes (You MUST have parental consent prior to submitting your application.)
How did you hear about our Senior Spokesmodel Program? *
What are your Academic Interests and Goals? *
What Extra Curricular Activities are you involved in? Sports, Hobbies, Interests? *
What Community Activities are you involved in or a member of? *
Please list any Job Experience. *
How do you describe yourself? Don't be shy! *
Why do you think you would be a good Spokesmodel for Susann Saarel Seniors? *
Are you on Facebook? MySpace? Other? If so, please list or say none. *
Please include a favorite picture of yourself.

Susann Saarel Seniors does not select Spokesmodels on the basis of physical appearance or weight. Submitting a photograph is therefore, not an application requirement.
I, the applicant, certify that I am a member of the Class of 2011 and that the above answers are true and complete to the best of my knowledge. If this application leads to my acceptance, I understand that false or misleading information in my application or interview may result in my release. * Yes
Type the letters you see in the image below.

2011 SENIOR SPOKESMODEL APPLICATION

2011 SENIOR SPOKESMODEL APPLICATION

PARENT/GUARDIAN INFORMATION