Industry Superfunds - Talent not on CN Form

Industry Superfunds -Talent not on CN Form
Name *

First Name Last Name
Please confirm you currently LIVE IN and are BASED in MELBOURNE (if not please do not continue with the audition process). *
Agent (if no agent please write freelance): *
Which Role are you auditioning for? *
Please list the full name and role of the person you are auditioning with (eg. Karen Wilson - Real Mum):
Are you 100% comfortable and OK with large dogs (eg Great Dane)? *
if auditioning with a partner or parent/teen please list their name and what fund they are with: put N/A if not auditioning with anyone :) *
Are you a member of an Industry Superfund? *

Yes No
What Industry Superfund are you currently with? *

CBUS HESTA Hostplus Spirit Super CareSuper LUCRF Super NGS Super Media Super TWU Super Energy Super First Super Maritime Super Legal Super REI Super Rest Super
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: *
Please do measurements with a measuring tape to ensure we have the most correct & up-to-date info :)
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
Last Part:
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 Date - Thursday 5th Aug 2021? *

YES NO
ARE YOU AVAILABLE FOR Wardrobe? - Dates TBC *

YES NO
PLEASE LIST ANY KNOWN RESTRICTIONS AROUND THESE DATES: *
ARE YOU AVAILABLE FOR THE SHOOT DATES? - 2 x day shoot, and filming between 11th - 20th August 2021 (TBC - Looking like Shoot 12th & 13th / Weather Hold: 14th Aug)? *

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

Browse Files

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

Browse Files

Cancel of
Please upload your SELF TEST here: *

Browse Files

Cancel of
The artist and agent agrees to not communicate any aspects of this agreement (including fees) / production information to or on any of the following channels; (a) any social media sites (this includes personal or public profiles/pages and all written and photo posts).(b) directly engaging with any journalists or media representative. Talent fees not paid until Police Checks received."

Agree
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
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Industry Superfunds -Talent not on CN Form

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

Last Part: