Dancer Application
 *PLEASE COMPLETE ALL FIELDS*
Name:
 Social Security Number:
Address:
 City:
Home Phone:
 Cell:
Height/Weight:
 Hair/Eye Color:
Previous Employers
Company:
Address:
 Phone:
Supervisor:
 From:
 to:
Reason for leaving:
Availbility Days/Evenings
(weekdays/weekend)?
Email:
 Date:
Send Us a Picture of Yourself
Earn up to $3,000 per week!
Call 312.388.5474 or Apply on-line.
What do you consider your greatest asset?
How were you referred to us?
I understand the nature of the business of this company. I also understand that if my services are utilized,
any misrepesentation of myself on this application may be sufficient cause for immediate cessation of the use of my services.