Booking Agent Application Form

www.PowerbacKBooking.com
Booking Agent Application to Power bacK

Fill the form below accurately indicating your potentials and suitability to job applying for.
Name:*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What kind of music are you into?
Word of mouthPower bacK employeeLive showFacebookTwitterGoogleOther
Upload Resume:

Upload a File
Optional Cancelof
About You ! Give us an introduction of yourself and what makes you interested in working with us as a booking agent!*
Help us get to know you better and how you will be fit for this job.
Job Experience/Skills
YesNo
How long have you worked in the music industry?*
rough estimate
YesNo
Please specify: Enter name of artist(s) you have helped/worked with and describe what you have done and when.*
Artist-Date of Engagement- Description
Employment History
Date employed
Date employed
Date employed
Describe your skills as a worker and your experience in the music industry
(if this is your first approach in the industry tell us what motivates you want to enter the music world)
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Relationship
Phone Number*

Area CodePhone Number
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference 2
Name:

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Years Known:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Before you submit your application...

How serious are you about this position?

	1	2	3	4	5	6	7	8	9	10

1 is Just curious, 10 is Definitely serious

Enter any notes, questions or concerns you may have.
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www.PowerbacKBooking.com

Booking Agent Application to Power bacK

Job Experience/Skills

Employment History

References

Reference 1

Reference 2

Before you submit your application...