Crown Job Form
Name
*
First Name
Last Name
Where are you based?
*
Perth
Melbourne
Sydney
Are you 25yrs or older?
*
YES
NO (if under 25yrs, please do not continue)
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 can confirm the above is CORRECT.
No, I cannot confirm this.
Personal Info
*
Answer
Mobile:
Email Address:
DOB:
Age
Cultural Background
Agent: (If no
agent please
write Freelance)
Gender
If you are auditioning with any of your family members or friends please list their names below:
*
Which Role are you auditioning for?
*
MALE - Friends & Connections
FEMALE - Friends & Connections
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please do measurements with a measuring tape to ensure we have the most correct & up-to-date info :)
MEASUREMENTS
Measurement (in cm please)
Height
Chest
Waist
Hips
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:
Competitive Advertising:
*
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?
If you answered YES - please provide details & list years / products: (if no, please write N/A)
*
Advertising currently On Air or About to go On Air:
*
YES
NO
Do you currently have any advertising ON AIR, ONLINE OR IN
PRINT, or ABOUT TO GO ON AIR, etc?
If you answered YES - please provide details & list years / products: (if no, please write N/A)
*
Last 3 Years:
*
YES
NO
In the last 3 YEARS - have you appeared in any advertising?
(ON AIR, ONLINE OR IN PRINT, ETC IN AUSTRALIA - Including Rollovers
If you answered YES - please provide details & list years / products: (if no, please write N/A)
*
On Hold:
*
YES
NO
Are you on hold for any other jobs?
If you answered YES - please provide details & list years / products: (if no, please write N/A)
*
Anything else:
*
YES
NO
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) ?
If you answered YES - please provide details & list years / products: (if no, please write N/A)
*
*
YES OR NO
Any further comments
Do you have your full Australian Drivers Licence
with no restrictions? if Under 18 put NO.
Yes
No
Do you have any allergies or Dietary requirements?
Yes
No
Do you have any visible tattoos?
Yes
No
DATES REQUIRED
*
Answers
Once on the shortlist, are you happy
to obtain a police check? (if required).
YES
NO
Are you avail for the shoot dates? -
May 23rd or May 24th 2022 – plus travel to/from Perth either side of those dates if coming from interstate.
YES
NO
PLEASE LIST ANY KNOWN RESTRICTIONS AROUND THESE DATES: - put N/A if fully available
*
*
Answers
Are you an Australian Citizen?
YES
NO
If no, do you have a current permit to work in Australia?
YES
NO
Please list any other professions / professional skills (ie. Yoga Teacher / Butcher / etc):
COVID RELATED
*
Answer
Are you in okay to do a RAT test prior to shoot if required?
Are you in okay to isolate prior to shoot if required?
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?
What is your vaccinations status?
*
Unvaccinated
Single Dose
Double Dose
Double Dose + Booster
N/A Child
Please upload your vaccine certificate HERE
*
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Please provide a current selfie photo taken TODAY holding your name on a piece of paper. (NOT a professional headshot)
*
Browse Files
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of
Please also do a full length photo of yourself here.
*
Browse Files
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of
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.
*
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