Interested in being a pole dance GIRL? Earn up to $500 to $1000 PER NIGHT!

Please fill out the form below and a club representative will get back to you shortly.

Employment

• Name (no stage name)*
• Stage Name*
• Street Adrress*
• City*
• State / Province / Region*
• ZIP Code*
• Phone*
• When is a good time to call:*
  • Morning
  • Daytime
  • Evening
• Email*
• Age*
• Gender*
  • Female
  • Male
  • Transgender
• Ethnicity:
  • African American
  • African
  • Caucasian
  • Hispanic
  • Asian
  • Mixed/Others
• Work Status :*
  FulltimePart time

• Model Information

• Height (Feet)*
• Height (Inches)
• Weight*
• Pant Size*
• Shoe Size*

• Availability

• • Days
  • Nights
  • Weekends

• Measurements:

• Bust*
• Waist*
• Hips*
• Have you ever danced?*
  NoYes
• Club Type:*
  n/aNudeToplessPasties
• Which Clubs:*
• Have you ever modeled before?*
  NoYes
• For which companies, magazine, etc:*
• Interested in: check all that apply*
  • Topless dancer
  • Nude dancer
  • Waitress
  • Bartender
  • Private Parties
  • Shot girl
  • Peep Shows
  • Magazine layouts
  • Film & Video
  • Topless Modeling
  • Nude Modeling
  • Phone Sex
  • Escorts
  • Boy/Girl
  • Modeling
  • Masturbation
  • Girl/Girl
  • Group Sets
  • Bondage
• Describe Yourself: any piercings, tattoos, scars etc..*
• Please Upload a picture here*
  Accepted file types: jpg, gif, png, pdf.
  *Important: applications without photos are usually not looked at!
• Comments
  This field is for validation purposes and should be left unchanged.