Contact Information
Bolded fields are required.
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:


Please enter either 5 digit or 9 digit zip code.

Home Phone:

Cell Phone:

Email Address:		 Please enter area code and phone number
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Please enter area code and phone number, if no cell number enter 000-000-0000
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*Gender: Male
Female
*Birthdate:
*Ethnicity: African American
Asian
Caucasian
Latino
Middle Eastern
Native American
Other
*Hair Color: Auburn/Red
Black
Blonde
Strawberry Blonde
Brown
Salt & Pepper
Gray/White
Bald
Balding
*Eye Color: Blue
Brown
Hazel
Green
Other
Skills
(Check all that apply)		 Acting
Still
Voiceover
Onscreen Host
Teleprompter
Extra
Singing
Stunts
Dancing
Other Language
*Height (Shoeless)
*Weight:
*Willing to Travel Lincoln Area
Southeast Nebraska
Anywhere with proper notice and compensation
*Worked with Snitily Carr? Yes
No
If yes, which client(s)?
Tell us about yourself