Nisswa Strippers

EMPLOYMENT

First Name*

Last Name*

Stage Name

Cell Phone*

Email Address*

Home Address*

City*

State*

Zip Code*

Date Of Birth*

Current Employer

Employer Phone Number

Job Title

Emergency Contact*

Emergency Phone Number*

Location Wanting To Work*

Position Applying For*

Picture Attachment 1*

Picture Attachment 2*

Picture Attachment 3*

Do You Have Kids*

If Part Time Student Explain

If Any Explain Previous Stripper Experience

Do You Own A Car*

Your Gender*

Sexual Orientation*

Hair Color*

Eye Color*

Cup Size

If Any Explain Body Piercings And Tattoos

How Did You Hear About Us*

Please Fill In The Captcha Code Letters In The Box Below To The Right