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7/27/2019 The Phoenix Agency Talent Questionnaire 01-03-12.12102235
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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.
7/27/2019 The Phoenix Agency Talent Questionnaire 01-03-12.12102235
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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
7/27/2019 The Phoenix Agency Talent Questionnaire 01-03-12.12102235
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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
Print Form