VA -RCP

VA-RCP

VA-RCP TALENT SUBMISSION FORM

WE HIGHLY RECOMMEND THAT YOU USE THIS SUPPORTED BROWSER:

Date: 4/18/2024 12:58 PM

I am AWARE that Production will be Filming in the state of VIRGINIA (RICHMOND)(required)

Select Opportunity you are Submitting for (required)

First Name(required)

Last Name(required)

How did you hear about this opportunity?(required)

List Name of AGENCY/MANAGEMENT(required)

List Phone Number of AGENCY/MANAGEMENT(required)

You selected "OTHER" please list how you found out about this opportunity!(required)

Have you been booked by JÄDERLUND CASTING in the past 12 months?(required)

Please List the Name of Project(s) Jaderlund Casting booked you on in the past 12 Months (required)

Age Range(required)

Email address(required)

Phone Number(required)

Confirm Email address(required)

Alternate Phone Number(required)

Emergency Contact Name(required)

Guardian's Name(required)

Emergency Contacts Phone Number(required)

Guardian's Phone Number(required)

Union or Non-Union(required)

Member ID(required)

Ethnicity(required)

Gender(required)

Select Gender you Identify with.

Native American Tribe you belong to?(required)

Do you have your own Native American Regalia ?(required)

Upload a photo of you in your Native American Regalia.(required)

Country:(required)

State:(required)

Provinces(required)

City(required)

Height(required)

Shoe Size(required)

Waist(required)

Inseam(required)

Dress Size(required)

Hair Color(required)

Are you willing to cut your Hair ?(required)

Hair Length(required)

Upload Headshot or Snapshot(required)

Maximum size 8MB

Head to Toe (FULL BODY)(required)

Maximum size 8MB

Upload Resume .PDF ONLY

NOT REQUIRED

YOUTUBE REEL LINK

not required

I UNDERSTAND THAT IF SELECTED FOR THIS OPPORTUNITY THE TENTATIVE FILMS DATES JANUARY 2023 - FEBRUARY 2023

I UNDERSTAND THAT THIS IS NOT A BOOKING AND THAT I AM SIMPLY SUBMITTING MY INFORMATION TO BE CONSIDERED AS A CANDIDATE FOR THIS OPPORTUNITY.

Are you willing to work as a LOCAL HIRE? RICHMOND VIRGINIA(required)

Are you Interested in potential Background opportunities for this project?(required)

YES

If selected I understand I am required to SELF-REPORT to Set.(required)

NDA [non-disclosure agreement](required)

I AGREE AND UNDERSTAND : The Parties shall (i) use reasonable efforts to maintain the confidentiality of the information and materials, whether oral, written or in any form whatsoever, of the other that may be reasonably understood, from legends, the nature of such information itself and/or the circumstances of such information’s disclosure, to be confidential and/or proprietary thereto or to third parties to which either of them owes a duty of nondisclosure (collectively, “Confidential Information”);

CONFIDENTIALITY (required)

I AGREE AND UNDERSTAND : I am not allowed to use, reproduce, disclose, furnish,reveal,communicate, transfer, or make accessible to any other person any information that you acquire or learn about in connection with and during any projects I submit for and or Hired on.

Date(required)

FULL NAME(required)

DIGITAL SIGNATURE

Type the characters(required)

ERROR: MUST BE WILLING TO WORK AS A LOCAL HIRE