EmailMeForm
INDIVIDUALS INTERESTED IN A LIVE MEDIUM READING
NOTE: If you have an agent, please notify them of your interest in this project! Thank you!
Applicant's Name
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First
Last
Name (if auditioning with a friend, partner, family member)
First
Last
Name (if auditioning with a friend, partner, family member)
First
Last
Name (if auditioning with a friend, partner, family member)
First
Last
Contact Phone
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Email
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Verify Email
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Current City/Town of Residence
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Relationship status of the people you're applying with (if applying as a pair/group)
Is there a specific reason you want to see a medium beyond connecting with your loved one(s) that have passed? Please select one or more
Looking for answers
Unresolved issues
Closure from trauma
Regret
Guilt
You get signs and you want confirmation of those signs
Life guidance from your loved ones
Validation & spiritual growth
Reassurance on life choices
Life perspective
Please select one or more below:
I have lost close family/friend(s).
I have worked as a hospice nurse/death doula/nursing home worker/ER worker etc., and have been alongside someone transitioning.
Tell us a little bit about you! For example, what do you do for a living? Are you a student? Relationship status.
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Have you found other ways to connect with your loved one who has passed? If so, how?
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Agent Phone (If Applicable)
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Agent Email (If Applicable)
Union Status
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Non-Union
ACTRA
ACTRA Apprentice
UDA
Photo of yourself. Does not have to be professional!
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Photo of your co-applicant. Does not have to be professional!
Photo of your co-applicant. Does not have to be professional!
Photo of your co-applicant. Does not have to be professional!