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SAMSUNG 837: SIGN-IN

* IS REQUIRED INFO

Stage Nameoptional

Are you legal to work in the US?

YESNO

Are you available on FEBRUARY 15TH for a fitting for 1 hour?

YESNO

Are you available on FEBRUARY 19TH for the shoot if cast?

YESNO

ARE YOU CURRENTLY IN ANY ACTIVE OR LIVE CAMPAIGNS (PRINT, VIDEO, ONLINE, SOCIAL, COMMERCIAL, BRANDED, ETC.) FOR ANY OTHER MOBILE PHONE COMPANIES?

YESNO

Please list and elaborate if you select YES regarding working for another mobile phone company.

0 /

What is your career? What do you do for a living?

0 /

Did an agent sent you to the casting? If so, please list the name of your agency and agent as well as their email and phone number.FORMAT: AGENCY / AGENT / EMAIL / PHONE

0 /

Your EmailFor agency talent, we would only contact you if you are no longer with an agecny and we have an oportunity for you that needs your attention.

Your Phone #Format: XXX-XXX-XXXX

AgeYour age and DOB will only be used for archival purposes. Your age will never hurt your chance of being selected for a role. We cast strictly based on how you appear on camera.

Date of BirthFormat: January 01, 1999

City Basedcity, state/province, country

What is your ethnic and/or cultural background?

Your Websiteoptional

Your Instagramoptional

Do you have any special skills, talent, or ability? List any instruments you can play well, any type of dance you are a pro at, or any sports you often play or compete in, or any special skills you have.

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MEASUREMENTS

HeightEx: 5'10"

Pants/Waist

Shirt/SweaterEx: XS, S, M, L, XL, XXL

Shoe

Sizes specific To Women Clothing (OPTIONAL)

Bra

Hip

Dress

Suit

Sizes specific To Men Clothing (OPTIONAL)

Chest

Suit

Collar

Information you have submitted will remain confidential and will only be used for casting purposes.

PLEASE FILL OUT AS MUCH OF THE INFORMATION BELOW AS POSSIBLE.