Senior Questionnaire 

Please fill out this entirely private information about yourself to qualify for our Senior Representative Program.

Name:

Date of Birth: 

Address:

City: State: Zip:

Home Phone:

Cell Phone:

*can we contact you via text messaging?     Yes     No

Email:

Facebook Page Address:

Instagram Username:

Name of School:

Graduation Month/Date/Year:           /          /          

Parent/Guardian's Name(s): 

Parent Guardian's Phone(s) (required if under the age of 18): 

Home Phone:

Cell Phone: 

*can we contact you via text messaging?     Yes     No

Yearbook Instructor's Name:

Instructor's Email:

Instructor's Office Phone:

Tell Me About Yourself! 

How would you describe yourself in three words?
(ex: Adventurous, Athletic, Artistic, Academic, Creative, Confident, Easy Going, Funny, Friendly, Motivated, Outgoing, Reflective, etc.)

What extra-curricular activities do you participate in?
(ex: Clubs, Community Activities, Hobbies, Sports, etc.)

What/Who is your Favorite:

Music Artist?
Store?
TV Show?
Movie?
Inspirational Quote?
Color(s)?
Food?
Past Time?
Word?
Number(s)?
Website?
Place?
Prop?
Sport/Activity?

 

What your dream job is?

 

Describe Your Fashion Style?

 

What are your plans after graduation?

 

Describe why would you make a great rep for Cassandra Hall Photography and Design?

 

What ideas do you have in mind for your session?

 

What photo products do you like/love?

 

Is their anything special you would like to do during your senior session?

 

Any ideas for specific style of images you're looking for?

 

Any props you want to include?

 

How did you find/hear about CHPD?

 

If you were referred by someone, who do we have to thank?

Name:
Other? Please Circle One: Twitter, Instagram, Facebook, Internet Search, Advertisement, or Other.