Talent Program Application

Talent EmpowermentTM Arts Program - Application:

* = Required Please answer all questions as briefly and clearly as possible.

Contact Information:

Title

First Name *

Last Name *

Email Address *

Web Address

Home Address

City

State

Zipcode/Postcode

Country

Date of Birth *

Home Phone Number *

Cell Phone Number

Work Phone Number

Basic Info:

What area(s) of the arts do you participate (or desire to participate) in? (list all: such as music, dance, modeling, painting, sculpture, written [poetry, play-writing], etc.) *

How long have you been practicing in that/each area of the arts? (please name and estimate the amount of time for each) *

What training, if any (traditional schooling, self-taught or training/mentoring), have you been through (NA if none)? *

Have you ever been paid for your art? *
YES
NO

What are your short-term and long-term goals? (Example: How do you want your life as an artist to be in 5 years, 10 years, 20 years: what is your dream/vision?) *

What is your current occupation? *

What is the best time of day to reach you to schedule an evaluation? *

Do you have reliable internet access, or are you using someone else's computer/internet service? *

Do you have reliable phone service, or are you using someone else's phone? *

If you are required to travel for a meeting, do you have reliable transportation and driver's license, or would you be getting a ride from someone? *

Personal/Character Questions:

Please be honest: integrity is a key factor in our organization. If we can not trust you to tell us the truth, we will not work with you.

Would you describe yourself as shy or confident? *

Do you enjoy talking to people? *
YES
NO

If you are a model or actor, are you: (Please answer both questions)

- comfortable with your appearance

- able to relax and enjoy being photographed or video recorded, regardless of the gender of the photographer/recorder? *

Sobriety and Substance Use:

Your answers will not necessarily disqualify you: these questions help us know how best to work with/support you and help you grow, including helping you break limiting/destructive habits if you so desire.

However, you will be required to be sober for any "in-person" work we hire you for directly. Our affiliates have their own policies/criteria independent of our own and may not hold to these standards.

Are you on any medications? *

Do you use drugs or alcohol, especially to relax? *

Do you smoke? *

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Talent EmpowermentTM Arts Program - Application:

Contact Information:

Basic Info:

Personal/Character Questions:

Sobriety and Substance Use: