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Name: First/Middle/Last:

Actor Name:

8809 Washington ST suite #110 NE

Albuquerque, New Mexico 87113

Phone: 505.797.1940

www.thephoenixagencynm.com

Union Status(Check all that apply)

SAG

SAG Eligible

AFTRA

AEA

ACTRA

ACTRA Apprentice

AGVA

AGMA

BAE

AAE

CAEA

CAEA Apprentice

UBCP

E-mail Address

Phone #:

Cell #:

Mailing Address:

City/State/Zip

Parent Information

UBCP Apprentice

Financial Core

UDA

UDA Stagiere

NON-UNIONShort Films

Acting(Check all that apply)

Theater

Commercial

Student Films

Independent Films

Major Film

Nude Scenes

Extra Scenes

Live Model

Modeling(Check all that apply)

Magazine/Catalogue

Swim Wear

Runway

Nude Pictures

Date:

Talent Questionnaire

Lingerie

Fitness

Body Parts Modeling

Stock Photography

Model Measurement (Check all that apply)

Waist Size Hips Size

Bust Size

Dress Size

Height

Weight

Shoe Size

Jacket Size

Name: First/Middle/Last:

E-mail Address

Phone #:

Cell #:

Mailing Address:

City/State/Zip

I am under 18 (Parent Info Required)Applicant MaleFemale

DOB

Age

Ethnic SS No.

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Bartender

Bartender-Flairing

Brass Instruments

Cello

Chef

Clarinet

Comedian

Dance-Break Dance

Dance-Ballet

Dance-Ballroom

Dance-Belly

Dance-Cha Cha

Dance-Hip Hop

Accordion

Auctioneer

Performance Skill (Check all that apply)

Banjo

Impressionist

Harmonica

Improvisation

Juggler

Licensed Driver

Magician

Mime

Modeling

Motorcyclist

Orchestral String

Percussion

Piano

Flute

Guitar

Guitar-Bass

Singer

Dance-Modern

Dance-Salsa

Dance-Samba

Dance-Swing

Dance-Tango

Dance-Tap

Disc Jockey

Drums

Ear Prompter

Fiddle

Dance-Jazz

Cance-Country

Dance-Mambo

Firearms

Tuba

Sax

Uklele

Ventriloquist

Violin

Vocal-Alto

Vocal-Bari Tenor

Vocal-Baritone

Vocal-Bass

Vocal-Mezzo Soprano

Vocal-Soprano

Vocal-Tenor

Square Dance Caller

Teleprompter

Trumpet

Vocal-Belt

Vocal-Rapper

Voiceover

Whistler

Wind Instrument

Talent QuestionnPa

Physical Attributes

Blond

Black

Brown

Peppered

White

Grey

Hair Color

Red

Grey

Black

Brown

Blue

Hazel

Eye Color

GreenBalding

Shaved

Bald

Shoulder Length

Long

Crew Cut

Hair Length

Short

Goat Tee

Mustache

Scruffy

Side Burns

Facial Hair

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Asian-Japanese

Asian-Korean

Australian

Boston

British-BBC English

British-Birmingham

British-Cockney

British-Geordie

British-Scouse/Liverpool

British-Yorshire

Cajun

Canadian

Cockney

African

Asian

Accents (Check all that apply)

Asian-Chinese

Middle Eastern

Mid-East

Minnesota

New England

New York

Norwegian

Persian

Philadelphia

Polish

Puerto Rico

Russian

Scandinavian

Italian

Jamaican

Kosovo-Resava

Scottish

East-Bosnian

Filipino

Finland

French

French-Canadian

German

Greek

Hungarian

Iraqi

Irish

Danish

Dutch

East Indian

Israeli

Spanish

Swedish

Welsh

West Indian

Slavic-S. Eastern Bloc

Slovonian

Southern

To Submit by E-mail: At the menu click on "FILE" and and click on "ATTACH TO EMAIL".

Talent QuestionnPa

Arbic

Armenian

Bulgarian

Cantonese

Filipino

French

German

Chinese

Dutch

Fluent Accents (Check all that apply)

Danish

Farsi

Greek

Hebrew

Hindi

Hungarian

Indonesian

Italian

Japanese

Korean

Latin

Lithuanian

Mandarin

Norwegian

Pashtu

Persian

Polish

Portuguese

Punjabi

Russian

Sign Language

Spanish

Spanish-Mexico City

Spanish-Spain

Swahili

Swedish

Taiwanese

Thai

Turkish

Urdu

Vietnamese

Yiddish

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