Apply for Class of 2027 Senior Rep Program

Applications open February 1, 2026 & the deadline to register is February 16, 2026. This is for any Class of 2027 High School Senior in the Birmingham Area. If you have any questions between now and then, please text me at 205-540-3774

Full Name *

Email address *

Phone Number *

Instagram Handle *

Tik Tok *

Are you a high school 2027 graduate? *

What High School are you graduating from? *

What activities do you do in school or outside of school? *

How would you describe yourself in 3 words? How would your friends describe you in 3 words? *

Any other fun facts? *

Why do you want to be a Benzaia Photo Senior Rep *

How did you hear about the Benzaia Photo Senior Rep Program? If a specific person, please put their name here (referral credit). *

Please type your full name in the box below after reading the paragraph below. *

By typing my full name above and submitting my application I understand that if I am chosen by Benzaia Photo as a senior rep, I am committing to participiate in group events, post on social media, and shoot exclusively with Benzaia Photo during my senior year. In addition, if chosen I agree to pay the $200 retainer required to hold my spot. Referral credits can be earned.