Name :

Age :

Nationality :

Sizes (inches) Height: Bust: Hips: Waist: Weight: Shoe Size :

Hobbies (list 4) :

Please leave email address so we can contact you:

Do you have any tattoos? Yes No

If yes, where ?

Do you have any piercings other than your ears? Yes No

If yes, where?

If you have any video online that shows us your personality, please state the URL:

Please state a link to your portfolio :

If you have a profile on modeling sites, you can also state the member number:
Onemodelplace : Modelmayhem :

Please indicate other talents:
Acting Hosting Singer Dancer

Do you have a valid passport: Yes No

If you are chosen as the KOZO girl, would you be available for 2 weeks starting March 2012 ? Yes No

Do you speak American English with no accent? Yes No
(If you have an accent, please describe:)

Do you speak other languages?

Spanish:
Fluent/native Learned as second language Basic understanding No

Fluent/native Learned as second language Basic understanding No