Senior Representative Submission Form

PROGRAM OVERVIEW: This is an application for the 2013 Senior Representative program presented by AJZeller Photography. Completion and submission of this application does not guarantee acceptance into the program. No more than 2 representatives will be accepted from each high school. We’re looking for one boy and one girl from each school however we may choose two boys or two girls depending on overall submissions (and school, of course.)

If you’re accepted into the program you will receive:

  • a free senior session between March-July
  • a free set of wallets
  • a free Digital Display Disc
  • 10% off additional prints
  • an unlimited supply of snazzy rep cards
  • $100 in studio credit apply towards prints/products for each senior you refer.



After your session, you’ll receive your snazzy rep cards. When you’re showing off your sweet images to your friends, you can hand them a rep card. When they choose to come to me for their senior session, they’ll get 10% off any prints or products they’d like, and you’ll get $100 in studio credit to apply towards any prints and products. There’s no limit to how much credit you can earn or spend.

All that you have to do is fill out the form below

Once I receive your application, I’ll review it and make a decision. I will let you know if you were accepted or not with 2 weeks of your submission. (If you do not hear from me within 2 weeks, please contact me to make sure that I’ve received it.)

If you are accepted, we’ll set up a time and location to have the shoot. After the shoot we’ll get together to go over your images and then get everything printed up including your rep cards. When you’re in school and hanging out with friends and they’re all gawking over your awesome shots, just give them a rep card send them my way.

Sounds easy, huh? Well, if you’re up for it, then just fill out this application and let’s get started!

If you have any questions, feel free to contact us.

Your Name

Your Birthday

Your Address

Your Zip Code

Your Phone

Your Email

High School

School Location

Your Graduation Year

Approximate Number of Students in Your Class

School Mascot & Colors

Your Facebook Username (if you have one)

Your Twitter Username (if you have one)

Your Website/Blog (if you have one)

Describe yourself.

What's your favorite and least favorite parts of school?

What extra curricular activities are you involved in and describe your involvement.

What are your plans for after high school?

Why do you want to me a representative for AJZeller Photography?

Check the box below if you agree with all of the terms of the program above and the the above form is all true. Lying on the above form is grounds for disqualification from the program.