Aged Care Commercial - 'Icebergs' - Community Casting Form

Aged Care Commercial - 'Icebergs' - Community Casting Form

Each person auditioning needs to complete a form.
Name*

First NameLast Name
Are you comfortable sharing your Date of Birth (DOB)

DayMonthYear
It's vital to include this for people 25 and under
Salutation
Are you comfortable sharing your age?*

YesNo
Please type your age*
What State and Suburb do you live in*
For Example - QLD, Chermside
Your Contact Email Address*
example@example.com
Your Phone Number*
Please enter your phone number here
Do you have a current acting agent or are you part of the community call out?*

I have an agentI do not have an acting agent. I also understand I can apply for commercial without one.
Agency Name*
What is the name of
What is your Agents name? (Write NA if you don't have an agent)*

First NameLast Name
Agent Email*
Agent Phone*
Will you require carer with you on set?
Comfort & Accessibility: Filming may involve light movement (e.g. walking, standing for short periods, or being on your feet).Please let us know which option best applies:

I’m comfortable with thisI may need some support (please let us know how we can help below)I’d prefer to discuss this if selected
The support i need is:*
Please fill out the measurements as best you can
Height cm*
Chest/Bust*
Hip*
Waist*
Suit/Dress Size*
Shoe Size*
Hat*
Gender*
How do you identify?
Can you make yourself available for the shoot dates?

We need to make sure ahead of time that you can make yourself available for the dates this is filming.

You do not need to clear your schedule now. We only want to make sure that if you offered a role, you can make yourself available for the dates.
Are you available on each of the below dates. (You will be needed for one(1) of these dates to be confirmed closer to the shoot) However we need to know you are potentially available for all of them. Check all the boxes to confirm.*

Wednesday, 27th of May 2026Thursday 28th of May, 2026Friday, 29th of May 2026
Please confirm you can make yourself available for this recording Day. Check the box to confirm.*

Monday 25th of May
Would you like to add anything about your availability over the dates?
Have you appeared in any commercial or promotional material for aged care or similar product in the last 3 years?*

YesNo
Please list the product/s*
Do you identify as a First Nations Australian or Torres Straight Islander*

YesNo
File Upload - Upload Video here*

Upload your Video Here.
Cancelof
If selected, please let us know if there’s anything that would help make the audition or filming process more comfortable for you.
Optional Question
Consent & Agreement
By submitting this form, I confirm that I consent to my audition materials (including video, photos, and personal details) being viewed and shared with the casting director, production company, and client for the purpose of casting this project. I understand that my information will be collected and handled in accordance with Australian privacy laws. I acknowledge that, if selected, I may be required to enter into a separate agreement outlining usage, fees, and terms. I confirm that the information provided is accurate to the best of my knowledge.
Consent & Agreement - Acknowledgement

I agree to the above
Should be Empty: