Upload Headshot and Contact Information Form
The information you provide to us is kept in confidence for the purpose of
casting consideration for future projects.

* Denotes that the field is required
* First Name
* Last Name
Address Line 1
Address Line 2
* City
* State
* Zip
* Cell Phone - -
* Home Phone - -
* eMail Address
* Sex
* Ethnicity
* Union Status
Interests
* Height feet inches
* Weight
* Age Range to
* Hair Color
* Hair Length
Date Submitted
Below, it is best to submit a jpg photo of your headshot.
* Upload Headshot Photo
Below, it is best to submit a word document of your resume.
* Upload Resume Document

This will submit the entire page. Fill out everything! Only submit once please.