Your Identity
Proper True Name / Given Name (first + middle) *
This is your given name as you naturally use it in private life (usually first + middle). Not the PUBLIC / ALL-CAPS government version. For example: “Jane-Marie of the family Doe”.
Alias / Profile Handle (for public + PMA reference) *
This is the alias or profile handle you want us and your fans to know you by (for example @yourname). It is used inside the PMA and for any public-facing references. It does not need to match your legal/government name.
Name On Your Payment Account (public / legal name) *
This is the name that appears on your bank or payment account — the public/legal name your financial institution knows. We use this privately for matching tributes/dues, not for public display.
Surname (last Name)
If you use a surname / last name (for example “Doe” in “Jane-Marie Doe”), you can share it here. This is optional — you may leave it blank if you prefer to use only an alias.
Date of birth *
We work with women models who are 18 or older. We use this date only to quietly confirm you meet the age requirement. It is never shared publicly.
Location & Manager designation *
Manager / recruiter ID (optional)
If a steward or manager has given you a private manager ID or invite code, enter it here. When present, we use this to route your application and your location becomes optional.
Country or region
Please select…
United States (US)
Costa Rica (CR)
Where you primarily live or operate from. This helps us route you to the right steward or manager region.
City / metro (optional)
City or metro area name (for example “Denver”, “Dallas–Fort Worth”, “San José”). This helps with city-level manager routing when available.
State / province / region
Please select…
San José (CR-SJ)
Alajuela (CR-A)
San José (SJ)
Alajuela (AL)
Cartago (CA)
Heredia (HE)
Guanacaste (GU)
Puntarenas (PU)
Limón (LI)
Alabama (AL)
Colorado (US-CO)
Alaska (AK)
Texas (US-TX)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kansas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
Nevada (NV)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
State, province, or local region (for example: “Oregon”, “Bavaria”, “Greater London”).
Postal / ZIP code
Your postal or ZIP code so we can understand your local timezone, mailing region, and manager coverage.
Your Experience & Income Goals
How long have you been creating self-promotional content online? *
Please select…
Brand new—just starting
Under 6 months
6–12 months
1–3 years
3+ years
There’s no minimum experience required. This simply helps us understand your starting point so we can support you better.
Current Average Monthly Income From Your Content *
Please select…
Under $500
$500 – $1,500
$1,500 – $5,000
Over $5,000
A simple estimate is perfect. These ranges stay inside the PMA and help us see what’s working for you now.
Monthly Income Goal From Your Content *
What would feel like a meaningful monthly amount from your content? This is for private planning and strategy—not a promise or guarantee.
Your Content & Collaboration Style
Would you be open to following a posting strategy created with you? *
Yes
No
Some creators prefer full creative freedom, others appreciate structured guidance. Either is fine — this just helps us understand your style.
Why do you want to join ROXURASS? *
Share a little about what you’re looking for — support, guidance, community, stability, growth, or something else. This helps us understand your goals.
Anything else you want us to know?
Optional — share anything that would help us understand you or your goals more clearly.