Questionnaire
If you're ready to get on the road to a brighter, more rewarding future, start by filling out and printing the questionnaire
Tell us how to get in touch with you:
Enter Current Information
Current Job:
Station/Network:
Current salary:
Other income:
Under contract? Yes No If yes, contract expiration
If under contract, list any clauses / special details?
Currently represented by another agency? Yes No If yes, when does it expire?
Desired Position
Desired Job:
Desired Salary:
Geographic/Market:
List 3 career goals:
Please contact me as soon as possible regarding this matter.
Mail questionnaire and audition tape (VHS only) to: Media Alliance® P.O. Box 3474 Ft. Myers, FL 33918
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