*First Name:
*Last Name:
* E-Mail Address:
*Telephone #:
Ext:
*Cell Number:
*City:
*State / Zip:
/
PUBLIC SERVICE ANNOUNCEMENTS (PSAs)
Talent Information:
Submit head shots & reel to: No1Talentcoach@aol.com
Crew Concentration #1:
MAKE SELECTION
Pre-production
Post production
Producer
Director
Assist. Director
Camera, DP
2nd Camera
Lighting
Sound
P.A.
Grip
Editor (post)
Sound (post)
Effects Editor (post)
Crew Concentration #2:
MAKE SELECTION
Pre-production
Post production
Producer
Director
Assist. Director
Camera, DP
2nd Camera
Lighting
Sound
P.A.
Grip
Editor (post)
Sound (post)
Effects Editor (post)
Crew Concentration #3:
MAKE SELECTION
Pre-production
Post production
Producer
Director
Assist. Director
Camera, DP
2nd Camera
Lighting
Sound
P.A.
Grip
Editor (post)
Sound (post)
Effects Editor (post)
Crew Concentration #4:
MAKE SELECTION
Pre-production
Post production
Producer
Director
Assist. Director
Camera, DP
2nd Camera
Lighting
Sound
P.A.
Grip
Editor (post)
Sound (post)
Effects Editor (post)
VOLUNTEERING - PRIMARY INTEREST(S):
Concentration #1:
MAKE SELECTION
Marketing
Corporate Communications
Social Media
Public Relations
Advertising Sales
Advertising Coordinator
Business Development
Grant Writing
Administration
Graphics: Commercial
Graphics: Publishing
Graphics: Advertising Design
Graphics: Board Games
Graphics: Web Site
Graphics: Animation
Graphics: Illustration
Graphics: Flash
Programming: HTML, ASP
Programming: My SQL, Access
Special Events: Fund Raising
Special Events: Media Events
Special Events: Location Scouting
Special Events: Corporate
Special Events: Social
Special Events: Bridal
Entertainment: Pre-production
Entertainment: Post production
Entertainment: Producer
Entertainment: Director
Entertainment: Assist. Director
Entertainment: Camera, DP
Entertainment: 2nd Camera
Entertainment: Lighting
Entertainment: Sound
Entertainment: P.A.
Entertainment: Grip
Entertainment: Editor (post)
Entertainment: Sound (post)
Entertainment: Effects Editor (post)
Concentration #2:
MAKE SELECTION
Marketing
Corporate Communications
Social Media
Public Relations
Advertising Sales
Advertising Coordinator
Business Development
Grant Writing
Administration
Graphics: Commercial
Graphics: Publishing
Graphics: Advertising Design
Graphics: Board Games
Graphics: Web Site
Graphics: Animation
Graphics: Illustration
Graphics: Flash
Programming: HTML, ASP
Programming: My SQL, Access
Special Events: Fund Raising
Special Events: Media Events
Special Events: Location Scouting
Special Events: Corporate
Special Events: Social
Special Events: Bridal
Entertainment: Pre-production
Entertainment: Post production
Entertainment: Producer
Entertainment: Director
Entertainment: Assist. Director
Entertainment: Camera, DP
Entertainment: 2nd Camera
Entertainment: Lighting
Entertainment: Sound
Entertainment: P.A.
Entertainment: Grip
Entertainment: Editor (post)
Entertainment: Sound (post)
Entertainment: Effects Editor (post)
Concentration #3:
MAKE SELECTION
Marketing
Corporate Communications
Social Media
Public Relations
Advertising Sales
Advertising Coordinator
Business Development
Grant Writing
Administration
Graphics: Commercial
Graphics: Publishing
Graphics: Advertising Design
Graphics: Board Games
Graphics: Web Site
Graphics: Animation
Graphics: Illustration
Graphics: Flash
Programming: HTML, ASP
Programming: My SQL, Access
Special Events: Fund Raising
Special Events: Media Events
Special Events: Location Scouting
Special Events: Corporate
Special Events: Social
Special Events: Bridal
Entertainment: Pre-production
Entertainment: Post production
Entertainment: Producer
Entertainment: Director
Entertainment: Assist. Director
Entertainment: Camera, DP
Entertainment: 2nd Camera
Entertainment: Lighting
Entertainment: Sound
Entertainment: P.A.
Entertainment: Grip
Entertainment: Editor (post)
Entertainment: Sound (post)
Entertainment: Effects Editor (post)
Concentration #4:
MAKE SELECTION
Marketing
Corporate Communications
Social Media
Public Relations
Advertising Sales
Advertising Coordinator
Business Development
Grant Writing
Administration
Graphics: Commercial
Graphics: Publishing
Graphics: Advertising Design
Graphics: Board Games
Graphics: Web Site
Graphics: Animation
Graphics: Illustration
Graphics: Flash
Programming: HTML, ASP
Programming: My SQL, Access
Special Events: Fund Raising
Special Events: Media Events
Special Events: Location Scouting
Special Events: Corporate
Special Events: Social
Special Events: Bridal
Entertainment: Pre-production
Entertainment: Post production
Entertainment: Producer
Entertainment: Director
Entertainment: Assist. Director
Entertainment: Camera, DP
Entertainment: 2nd Camera
Entertainment: Lighting
Entertainment: Sound
Entertainment: P.A.
Entertainment: Grip
Entertainment: Editor (post)
Entertainment: Sound (post)
Entertainment: Effects Editor (post)
AVAILIBILITY:
*Location:
Make Selection
Own Home
In Field / Out of Office
LocationsEtc/16Things, Queens NYC
*Duration:
Make Selection
1 Month
2 Months
3 Months (sug. minimum)
4 Months
5 Months
6 Months
*Start Date:
Make Selection
Jan.
Feb.
Mar.
Apr.
May.
Jun.
Jul.
Aug.
Sep.
Oct.
Nov.
Dec.
Make Selection
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Make Selection
2011
2012
2013
*Hours per Week:
Make Selection
15
20 (Sug. Minimum)
25
30
35
40 (Full Time)
Varies
A SHORT SURVEY:
Are there Organizations in your area that might be willing to work with "16 Things Kids Can Do?" on behalf of Kids, People and The Planet? Please List:
Organization 1:
Organization 2:
Organization 3:
Gender?
MAKE SELECTION
Male
Female
Age Range?
MAKE SELECTION
13-15 years old
16-17 years old
18-21 years old
22-27 years old
28-38 years old
39-49 years old
60-70 years old
71 & Above
Kids in Household?
MAKE SELECTION
01
02
03
04
05
06
07
08
09
10
11
12
How many families do you know that would be benefit from this program?
MAKE SELECTION
01-09
10-20
21-35
51-75
76-100
151 - Up
101-150
COMMENTS: