Contact Information

*The fields in BLUE are REQUIRED to be filled-in in order to submit your information. (So we can locate you, contact you, hire you, and pay you) Once you are done entering your info, scroll to the bottom of form and submit! button.

How did you find this form? Referral, Search, etc?*
First Name*
Last Name*
Middle Name
DBA/Billing Name
State/Prov. (2 Letters)*
Zip Code (5 Digits) *
Mobile ###-###-####
Home Office Phone
Home Phone
Email 1 Primary*
Email 2 Backup
Birthday MM/DD
Contact Comments
Freelance Work Profile

A concise summary of your Primary work in the remote broadcast field the past 1-2 years, what sports/events, positions, position specific details (Game camera, RF A2, Flycam, etc) is recommended. Please do not copy past any general resume information, we dont need to know what school you went to, etc., JUST YOUR KEY FREELANCE WORK CREDITS! 

Freelancing Status*
Form Type
Primary Position*
Secondary Position
Position - If not in pick list
Freelance Credits*
Crewing Company References * (At least a few)*
Equipment Owned*
Union Membership
Language Skills
Freelance Work Comments*
IMDb Credits
Social Net Section Comments
DMA Desc.
Other Work - Industry Related

Please only list jobs that are related to the TV Broadcast, Video Production, Media Industry, or allied industries, and that offer additional insight as to your professional work, industry experience in general. Please don't list a company in this section if you are the sole owner, have no other W2 employees, and company is mainly for billing your freelance services, list that company info above in DBA /Billing area of Contact section.

Co. Name
Co. Address
Co. City
Co. State/Prov
Co. Zipcode
Co. Job Title
Co.My Email
Co. My Tel No.
Co. Website
Co. Description
Comments Re Other Job

DOUBLE CHECK TIME!! Are you sure you filled in all required fields (with *and BLUE field name)? Those fields cannot be blank.  **If you click submit and nothing seems to happen AND you don't see a thank you message pop up, then one or more of the fields above is missing an entry or has an error in entry format (Zipcode, Tel #, etc.) look for the RED ERROR message, fix it and resubmit. If you still don't get a thank you, then look again, each ERROR requires a fix and submit, sorry but that's the way this system works.