| * = Required |
| First and Last Name * |
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| Age * |
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Height |
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| Weight |
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Gender * |
M
F |
| Street Address |
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| Street Address 2 |
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| City, State, Zip * |
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| Phone * |
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Cell Phone |
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| Time to Call |
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Email * |
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| Interest |
Modeling
Acting |
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| Experience |
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Union |
SAG
Aftra
Equity |
| Have you ever sustained an injury that kept you out of work? |
Yes
No
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| Are you bondable? |
Yes
No
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| Have you ever reneged on a contract? If so, please explain. |
Yes
No
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| What qualities best describe your demeanor? |
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| Are you able to take orders or direction from others? |
Yes
No
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| How is your memory for remembering work directions, script lines? |
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| Do you plan to make a long term career in entertainment, modeling or broadcasting? |
Yes
No
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| What is your educational background? |
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| Have you ever been arrested? If so, explain circumstances, etc. |
Yes
No
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| What physical, mental, intellectual and emotional qualities do you bring to a job or work assignment? |
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| Assuming illegal or unethical activity will negate the contract for you, Perform TV Management, Provoking the client to repudiate; Can you guarantee you will refrain such mutually detrimental activity? |
Yes
No
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| Additional Comments |
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