CD CASTING: Actor Submission Form

Actor Submission
Name*

First NameLast Name
Stage/Pen Name (If Different)

First NameMiddle NameLast Name
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
She/HerHe/HimThey/ThemPrefer Not to SayOther
Email*
example@example.com
Phone Number*
Instagram
Twitter
YesNo
AEA MEMBERS ONLY: Member ID number
Virtual OnlyLive OnlyBoth Virtual & Live
Have you worked with Chicago Dramatists before? If so, what was the project? List any references here or specific project submissions.*
15-2021-2526-3031-3536-4041-4546-5051-5556-6061-6566-7070-7576+
BlondBlackBrownRedSalt & PepperGrey / WhiteOther
Native American or Alaska NativeEast AsianSouth AsianBlackNative Hawaiian or Other Pacific IslanderCaucasianLatino or HispanicArabJewishPrefer not to AnswerOther
Bio (3-5 Sentences)*

0/75
YouTube / Vimeo Link to Reel or Monologue:*
Headshot (JPG/ JPEG / PNG / PDF files only)*

Cancelof
Resumé (PDF only)*

Cancelof
By signing below I am confirming that I understand and agree to the following:
1. It is my responsibility during the event to uphold Chicago Dramatists' Statement of Values which can be found at chicagodramatists.org/statement-of-values. Failure to do so will result in my removal from the program.
2. I confirm that I have reviewed this form in full, and all information provided is accurate to the best of my knowledge.
3. By signing below, I authorize Chicago Dramatists to record video/photo/audio footage and allow them to distribute or reproduce this footage for the following purposes only: portfolio showcase, advertising, marketing, branding, digital promotions, educational media, or other commercial/non-commercial purposes.
Signature (click and drag)*
Should be Empty: