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:*MorningDaytimeEveningEmail* Age*Gender*FemaleMaleTransgenderEthnicity:African AmericanAfricanCaucasianHispanicAsianMixed/OthersWork Status :*FulltimePart timeModel InformationHeight (Feet)*Height (Inches)Weight*Pant Size*Shoe Size*Availability Days Nights Weekends Measurements:Bust*Waist*Hips*Have you ever danced?*NoYesClub Type:*n/aNudeToplessPastiesWhich Clubs:*Have you ever modeled before?*NoYesFor 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!EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.