EmailMe Form - Out-of-State/Region Talent Application

EmailMeForm

Name *
First Last
Email *
Phone *
### - ### - ####
Address (US Residents only) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Parent/Guardian Contact (if under age 18)
Name
First Last
Relationship
Phone
### - ### - ####
Email
Race / National Origin *
Gender *
Male
Female
Are you eligible to work in the USA? *
Yes
No
Date of Birth *
MM / DD / YYYY
Age: *
I am interested in: *
Acting
Modeling
Social/Micro Influencer
Singing
Dancing
Acting & Modeling
Acting, Modeling, Social/Micro Influencer
All of the Above
Are you signed with other agencies? if yes, please list agencies with cities. *
Are you willing to travel? *
Are you interested in attending the World Modeling Tour - London (models only) *
Height (without shoes on) *
Women only: Bust Measurement
Women only: Waist Measurement
Women only: Hip Measurement
Men only: Jean Size (example 30x34)
Shirt Size: *
Shoe Size: *
Hair Color: *
Have you worked or applied as a model/talent in the past? *

Yes

No
If Yes, What challenges/successes have you experienced in the industry in the past? *
How can we help you? *
Do you have any of the following marketing materials: *

Actor's Resume

Actor's Reel

Actor's Headshot

Modeling Portfolio

Online Website

All of the above

None of the above
Are you willing to speak with an agent from Natalie Sparrow Mgmt/Ultimate Image, LLC by video chat? *
Please upload one (1) photo that shows your face clearly. Must be looking directly or near the camera. Please NO SNAPCHAT filters or masks and NO other people in the photo. *
Do you have any training in the modeling/talent industry? *
IF yes, please provide details of your experience in this field, Or upload your resume on the next field:
Actor's Resume:

Yes
No

Actor's Resume
Actor's Reel
Actor's Headshot
Modeling Portfolio
Online Website
All of the above
None of the above

EMF Online Payment Form

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Parent/Guardian Contact (if under age 18)