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Episode Express

Please complete the on line form below, and attach a current face / full shot picture of yourself. If you wish to be considered for events / promotional staff then please attach your CV and outline of experience.

Model. Promotions / Events staff. Creative. Artiste
Legal Name: *
Stage / Equity Name: *
Equity Number:
Address:
Post Code:
Tel. No: (Home)
Tel. No: (Mobile)
E-Mail Address: *
National Insurance Number:
Do you have a car? (please tick applicable box)
Do you have a full / clean licence? (please tick applicable box)
What categories can you drive?
Nationality:
Languages spoken:
Gender:
Date of Birth:
Occupation:
Hours Of Work:
In which city or town do you work:
Which areas in the UK would you be willing to work:
Measurments
All dimensions to be in inches.
Height: Chest: Waist: Bust: Hips:
Inside Leg: Suit size: Dress size: Collar size: Shoe size:
Hair colour: Hair length: Eye colour:
Do you have any tattoos, birthmarks or scars on any part of your body?
Where would you or could you work:
Would you be available for work at short notice?
Could you stay overnight if required(Accommodation provided)?
Are you currently on the books of any other agency?
If Yes - please give details:
Please give details of any work done and the rates of pay:

Modelling
Experience: (please tick applicable boxes)


TV and Film Extra work: (please tick applicable box)
Are you interested in doing any type of Extra Work?
Acting Experience: (please tick applicable boxes)
Do you have any acting experience?
Please give details:
Creatives
Are you qualified in any of skills below?(please tick applicable boxes)


Promotional / Events Staff Experience
Do you have a Health and Hygiene Certificate?
Are you interested in doing any type of promotional work such as:?(please tick applicable boxes)





If other please specify:  
Please provide us with three examples of your experiene; and what essential skills/experience you utilised whilst on the campaign(s):
1.Client: Agency:
Experience/Description:
2.Client: Agency:
Experience/Description:
3.Client: Agency:
Experience/Description:
Artistes
Artistes have unusual and impressive skills. Do you like to show your talent off?
If so, we'd like to show you off also at one of our award winning events. Tick following boxes below if applicable;
Dancer:(please tick applicable boxes)


Speciality:(please tick applicable boxes)



Musical:(please tick applicable boxes)
Hospitality: (please tick applicable boxes)
Photographs, Repro's & Index Cards
Do you have any professionally taken photographs?   
If YES - please give details:
Do you have any repro's of your photographs?   
Do you have any printed index cards?   
Headshot:
Full Length:
By clicking to register your details will be stored in our in-house database.
* Required field

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