Last name:

First name:

Middle initial:

Age:

15-25
26-40
41-55
56 or older

Gender:

Male
Female
Prefer not to say
Not listed

Permanent address:

Highest education earned:

Last available employer:

Reason for quitting:

Necessary skills, to some degree:

(If more than five, check the five you are most able to do):

Sew a straight or curved seam
Sew and turn a garment
Hem garments
Read patterns
Draft patterns
Design garments
Adjust commercial patterns
Embroider
Choose appropriate fabrics for a design
Take dramatic and elegant pictures
Edit photos using GIMP, Photoshop, or other image editing program (please submit samples)
Present photography and text in a visually pleasing format
Create professional-looking packaging and extras
Web design