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* = required field

Face Photo – Well Lit, Clear photo of just your face. *

Body Photo – Well Lit, Clear photo of your full body.

First Name *

Last Name*

Street Address*

City *

State *

Zip Code*

Cell Phone Number*

Home Phone Number

Work Phone Number

Email Address*

Re-Enter Email Address*

MySpace URL

Facebook URL

Twitter Name

Birth Year *

Age *

Ethnicity *

If you chose other, please describe:

Gender *

Height: *

Weight *

Eye Color *

Hair Color *

If you chose other, please describe:

Hair Style: *

Are you willing to cut your hair?

Are you willing to dye your hair?

Do you have any piercings?

If yes, please give us a brief description of piercing(s) and location(s):

Do you have any tatoos?

If yes, please give us a brief description of tattoo(s) and location(s): and

Pant Waist

     
     
     
     
     
     
     
     
     
     
     
     

Pant Inseam

Dress Shirt – Neck

Dress Shirt – Sleeve

Men’s T-Shirt

Men’s Shoe Size

Hat Size

Bust

Waist

Hips

Dress Size

     
     
     
     
     
     

Jeans

Slacks

Blouse

Woman’s T-Shirt

Woman’s Shoe Size

Shirt

Pants

Dress

Child’s Shoe Size

Do you smoke?

List any Health Concerns:

Are you willing to work in a Swimsuit?

Are you willing to work in the Nude? (18 and over)

When are you Availabile to work?

 
 
 

In which Cities are you Availabile to work?

 
 
 
 

Have you ever worked as a a Background Extra?

Have you ever worked as a Stand-In?

Please list, Year, Make, Model, Color & Condition of every vehicle you have available to work on

Vehicle Photo

Athletic Endeavors: Check all that apply.

     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     

Performance Skills: Check all that apply.

     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     

What else do we need to know about you? Work experience, Special Skills, Military Experience, etc…

Birth Certificate