UNIVERSAL ADD LISTING FORM

PERSONAL INFO

NOTE: At this time we do not have the capability to set up self-administered profiles so be sure that the information you enter is correct. Also if you are providing contact information for a location contact make sure that you have their permission (in writing if possible) to post the information in a public forum. ALL INFORMATION THAT YOU PROVIDE WILL BE PUBLISHED AS IS. We make no guarantee as to how the information might be accessed and used or by whom. You are voluntarily providing the information collected here and assume all liability associated with doing so. We cannot be held responsible for any use, or misuse, of the information made available here or damages that may be incurred as a result. If you need to make changes to the information you have provided please send an email to admin@dfwfilmcoop.com with a detailed message describing the requested changes.

 
Name                                                                                              DOB   (mm/dd/yyyy)

Company Name


Address

Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico New York Nevada Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington State Washington, DC West Virginia Wisconsin Wyoming Europe Australia Africa Asia South America North America  
City                                                                          State         Region                   Zip 

Home Phone                                   Work Phone                              Cell Phone

 
WebSite                                                                   Email   

Resume/Skills ( Limited to 1500 characters )

Photo - URL of your photo (i.e. http://images.myspace.com/yourphoto.jpg)

TALENT

Limited to 1500 characters
Roles Played ( Limited to 1500 characters )

Network Television Public Television Community Television Feature Film Short Film Professional Theater Community Theater Street Theater Poetry Slams Radio Pubilc Speaking Voice Overs Narration    Student 1 - 3 yrs 3 - 5 yrs 5 - 10 yrs Over 10 yrs    Film Television Theater Industrial Commercial Music Video
Experience In                                      No.Years                         Training    

Union Non-Union     Exerience is Compensation Deferred Less Than $100 per day More Than $100 per day Union Scale Negotiable
Affiliation                     Payment

Average Little Person Very Short Very Tall Very Skinny Very Fat Very Muscular Very Ugly Very Good Looking Unusual Voice Unusual Look Many Tatoos Many Piercings   from to       Caucasian Hispanic Asian African Mixed Other
Attributes                                           Age Range               Ethnicity    

CREW

Animal Wrangler Animation Assistant Camera - 1st – 16 mm Assistant Camera - 1st – 35 mm Assistant Camera - 1st – HD Assistant Camera - 1st – Video Assistant Camera - 2nd – 16 mm Assistant Camera - 2nd – 35 mm Assistant Camera - 2nd – HD Assistant Camera - 2nd – Video Assistant Director - 1st Assistant Director - 2nd Boom Operator Director of Photography – 16 mm Director of Photography – 35 mm Director of Photography – HD Director of Photography – Video Gaffer Best Boy Grip Line Producer Make-up Artist Hair Stylist Musician/Band Production Assistant Props Master Script Supervisor Sound Design - Location Special Effects - Make-up Special Effects - Mechanical Steadicam Operator Still Photographer Stunt Coordinator Stunt Performer Unit Production Manager Production Coordinator Wardrobe Master Student 1 - 3 yrs 3 - 5 yrs 5 - 10 yrs Over 10 yrs Film Television Theater Industrial Commercial Music Video
Experience In                                                    No.Years                     Training        

Union Non-Union   Exerience is Compensation Deferred Less Than $100 per day More Than $100 per day Union Scale Negotiable
Affiliation                  Payment

Crew Experience ( Limited to 1500 characters )

EQUIPMENT
Please list each piece of equipment separately.

Equipment Description and/or Requirements & Restrictions ( Limited to 1500 characters )

SERVICES

Services Description, Requirements & Restrictions ( Limited to 1500 characters )

WORK SAMPLE

Sample - URL of a sample of your work (i.e. http://images.myspace.com/sample.doc)

LOCATIONS  

Interior

   
 Address 

Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico New York Nevada Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington State Washington, DC West Virginia Wisconsin Wyoming Europe Australia Africa Asia South America North America
 City, State, Zip

Photo 1 - URL of location photo (i.e. http://images.myspace.com/locationphoto.jpg)

Caption or Keywords

Photo 2 - URL of location photo 2 (i.e. http://images.myspace.com/locationphoto.jpg)

Caption or Keywords

Photo 3 - URL of location photo 3 (i.e. http://images.myspace.com/locationphoto.jpg)

Caption or Keywords

Exterior

   
 Address 

Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico New York Nevada Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington State Washington, DC West Virginia Wisconsin Wyoming Europe Australia Africa Asia South America North America
 City, State, Zip 

Photo 1 - URL of location photo (i.e. http://images.myspace.com/locationphoto.jpg)

Caption or Keywords

Photo 2 - URL of location photo 2 (i.e. http://images.myspace.com/locationphoto.jpg)

Caption or Keywords

Photo 3 - URL of location photo 3 (i.e. http://images.myspace.com/locationphoto.jpg)

Caption or Keywords

Location Details, Requirements & Restrictions ( Limited to 1500 characters )

Location Contact Information
   
Contact Name                                                                                             


Contact Address

Select a State Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico New York Nevada Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington State Washington, DC West Virginia Wisconsin Wyoming Europe Australia Africa Asia South America North America
City                                                                          State                                   Zip 

Home Phone                                   Work Phone                              Cell Phone

Contact Email