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2309 West Cone Boulevard, Suite 150B, Greensboro, NC 27408 Audition/Fax: 877.385.7016
TALENT APPLICATION
NAME: LAST FIRST MIDDLE STREET ADDRESS: CITY STATE ZIP PHONE: ALTERNATE PHONE: EMAIL. FELONY IN PAST 7 YEARS YesNo MENTAL/PHYSICAL CHALLENGESNoYes REGISTRATION DATE// EXPIRATION DATE// (1 YEAR) HEIGHT ft in WEIGHTlbs EYES HAIR BIRTHDAY // AGE
AVAILABILITY: Please check all times you are available for an audition, filming, or assignment.
Initial Hereto confirm that you understand it is your responsibility to call in for information about auditions, contests, and other opportunities.
Print page 1 and proceed to Talent Application - 2nd Page Back to--> Actors Home ----------------------------------------------------------------------------------------------------------- FOR OFFICE USE ONLY ----------------------------------------------------------------------------------------------------------- TALENT INTERVIEW / CHECKLIST
LAST NAME FIRST NAME MIDDLE NAME
TALENT(s) CONFIRMED BY AUDITION OR PERFORMANCE: ___Acting ___Singing ___Dancing ___Modeling___Other______________________
PAYMENT INFORMATION: Paid for PAYMENT METHOD: Cash VISA MASTERCARD DISCOVER Name on card Signature/Signature Account Number Exp date// Number on Back
INTERVIEW NOTES: Please say your first and last name (write phonetic spelling, when necessary). How old are you ? Do you have any significant accomplishments in the entertainment industry? YesNo
What role(s) are you interested in? Acting Singing Dancing Modeling (Extras)Other Why do you believe you are the best addition to our talent pool?
CHECKLIST: Did you take a photo of the artist on site? YesNo Did you receive a photo? YesNo Do you have a copy of artist's/Guardian's ID? YesNo Does artist look like photo presented?YesNo Did the artist have any noticeable speech problems?No MuteStutterSpittingNervous Other What kind of attitude did the artist have? Upbeat & Confident Shy and Doubtful Distracted Other
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