EmailMeForm
Melbourne Audition Application - 2022
Name
*
First
Last
Nickname / Preferred Name
Pronouns
*
Date of Birth
*
DD
/
MM
/
YYYY
Phone
*
Email
*
Confirm Email
City of Residence
*
State of Residence
*
State
QLD
NSW
ACT
VIC
TAS
SA
WA
NT
Headshot
*
Files accepted: pdf, png, jpg or jpeg.
Theatrical/Performance CV
*
Files accepted: pdf, doc or docx.
COVID-19 Vaccination Status
*
I am fully vaccinated against COVID-19/will be by 28 Feb 2022
I hold a government issued COVID-19 vaccination exemption
Agent / Representation Details
Are you represented by an agent?
*
Yes
No
Agency
Agent Name
First
Last
Agent Phone
Confirm Agent Email
Confirm Email
Notes or Comments