<%@ Page Language="VB" ContentType="text/html" ResponseEncoding="iso-8859-1" %>

PRE-EVALUATION FORM

Please fill out the PRE-EVALUATION form so we can asses you hair for suitability. If your hair seems appropriate for cutting and/or styling class you will receive a confirmation email with the class details which takes place in Minneapolis at 3100 w 50th street (SALONROX). Please Note: it may take anywhere from 1 week to 5 months before hearing back from us regarding being a model for our advanced training classes.

First Name:
Last Name:
Email:
Date of Birth:	mm/dd/yyyy
Gender:	Male    Female

Describe Your Hair Type Straight Slight Wave Wavy Loose Curls Medium Curls Tight Curls Very Tight Curls

Describe Your Hair Length 0 to 1 inches 1 to 2 inches 2 to 4 inches 4 or more inches

Describe Your Hair Density Sparce Sparce in some areas Fine Medium Thick Dense

Describe Your Hair Texture Silky Course / Rough Wiry Multi Textures Not Sure

Describe Your Hair Condition Healthy Dry Oily Damaged

Describe Your Hair Color Black Dark Brown Light Brown Red Dark Blonde Light Blonde Gray/Silver Other

Is Your Hair Chemically Treated? Yes No

Describe Your Treatment Single Process Highlights Chemically Straightened Color Treated and Chemically Straightened Not Applicable

I’m Interested In… Free Haircuts Free Styling

How Did You Here About ROX Series Model Project? SalonROX.com A Friend City Pages SalonROX Employee