CROWN - Job Form

Name *

First Name Last Name

Are you 25yrs or older? *

Artist not to have been in competitive work for prior 3 years, have no history of pornography or erotic dancing, no prior criminal convictions and is not a gambling self excluder. *

I Confirm the above is CORRECT

Please confirm you currently live in PERTH or MELBOURNE (to be considered for this job you must be based in either Perth or Melbourne) *

Agent (if no agent please write freelance): *

Which Role are you auditioning for? *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Mobile Number: *

Email *

example@example.com

Age: *

DOB: *

Month Day Year

Cultural Background: *

Height (cm): *

Chest (cm): *

Waist (cm): *

Hips (cm): *

Shoe Size: *

Clothing Size: *

T Shirt Size: *

Jeans Size: *

Hair Colour: *

Eye Colour: *

If required are you willing / able to change your appearance for the shoot (i.e. cut hair/shave) *

YES NO

Have you ever appeared in any advertising (ON AIR, ONLINE, OR IN PRINT, ETC including Rollovers and anything not yet gone to air) for a COMPETITIVE PRODUCT? *

Yes No

Competitive Advertising ON AIR, ONLINE OR IN PRINT (INCLUDING ROLLOVERS) YES - please list year/products: *

Do you currently have any advertising ON AIR, ONLINE OR IN PRINT, or ABOUT TO GO ON AIR, etc? *

Yes No

Advertising ON AIR, ONLINE OR IN PRINT, or ABOUT TO GO ON AIR YES - please list year/products: *

In the last 3 YEARS - have you appeared in any advertising? (ON AIR, ONLINE OR IN PRINT, ETC IN AUSTRALIA - Including Rollovers) *

Yes No

Advertising in the last 3 years ON AIR, ONLINE OR IN PRINT (INCLUDING ROLLOVERS) YES - please list year/products: *

Are you on hold for any other jobs? *

Yes No

Please list the jobs you are currently on hold for *

Are you recognizable from any Television, Film, Theatre, etc (even as a child) or anything not related to the industry (ie. News Stories or Reports, etc) ? *

Yes No

Please list year/productions any further information about what you may be recognizable from - *

Do you have your Full Australian Driver's License with no current restrictions? *

Yes, I do. No, I don't.

DO YOU HAVE ANY ALLERGIES OR DIETARY REQUIREMENTS? *

Do you have any visible tattoos? *

Yes No

If yes, please provide further details ie. whereabouts? *

ONCE ON THE SHORTLIST, ARE YOU HAPPY TO OBTAIN A POLICE CHECK? (In some circumstances, this is a requirement for the client in order to be considered for the job.) *

YES NO Not applicable - under 18 years old

ARE YOU AVAILABLE FOR Recalls dates- TBC *

YES NO

ARE YOU AVAILABLE FOR Wardrobe? - Dates: Wednesday 12th, Thursday 13th or Friday 14th May 2021 *

YES NO

PLEASE LIST ANY KNOWN RESTRICTIONS AROUND THESE DATES: *

ARE YOU AVAILABLE FOR THE SHOOT DATES? - Melbourne - May 17th, 18th and 19th & Perth - 14th & 15th June 2021? (For applicable roles - Travel days either side of shoot) *

YES NO

PLEASE LIST ANY KNOWN RESTRICTIONS AROUND THESE DATES: *

COVID-19 Related questions. Have you/anyone in your household come into contact with someone who has tested positive for COVID-19? Or has anyone in your house household had a fever or any cold/flu-like symptoms in the past 14 days *

Yes No

ONCE CONFIRMED ARE YOU HAPPY TO OBTAIN A COVID-19 test (IF REQUIRED by client)? *

YES NO

Are you an Australian citizen? *

YES NO

If not, do you have a current work permit to work in Australia? *

YES NO

Please list any other professions / professional skills (ie. Yoga Teacher / Butcher / etc):

Before submitting your application please make sure you have completed all the steps required otherwise we will not be able to process your application

Step 1 - Filled out the job form correctly Step 2- Uploaded video via showcast

Please provide a current selfie photo taken TODAY holding your name on a piece of paper. (NOT a professional headshot) *

Browse Files

Please also do a full length photo of yourself here. *

Browse Files

By signing this form, I acknowledge that I have not knowingly withheld any matters that may render me incapable of performing the role as written and that failure to have done so, may result in the Client seeking legal action. I confirm that I am fit and healthy to perform all duties as required if confirmed for this job. All facets of this production are confidential. Please do not disclose directly or indirectly any information without first getting any written permission and you will not use the information relating to the job for any other purpose that than expressly authorized by the client. I also acknowledge that if selected for the role, I may be required to undergo a Police Check. Signature below. *

Clear

CROWN - Job Form

Please do measurements with a measuring tape to ensure we have the most correct & up-to-date info :)

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