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
 
 
Nickname
 
 
DBA/Billing Name
 
 
Address1
 
 
Address2
 
 
City*
 
 
State/Prov. (2 Letters)*
 
 
Zip Code (5 Digits) *
 
 
Country*
 
 
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*
 
 
 
LinkedIn
 
 
Plaxo
 
 
Website_Professional
 
 
Facebook
 
 
Twitter
 
 
Skype
 
 
Youtube
 
 
Blog
 
 
IMDb Credits
 
 
Social Net Section Comments
 
 
 
MRKT #
 
 
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.