THE IMAGINATION MACHINE

AUDITION APPLICATION –
“WHO, WHAT, WHERE/WRITE AWAY” & “WRITING SHOW”
(please attach photo and resume, copy of driver’s license and current auto insurance card)
NAME:
HOME PHONE:
CELL PHONE:
*HAVING A WORKING CELL PHONE IS A MANDATORY REQUIREMENT FOR THIS POSITION
EMAIL:
HOME ADDRESS: ____________________________________
MAILING ADDRESS (IF DIFFERENT)__________________________________________________________________

HOW DID YOU HEAR ABOUT THIS AUDITION?

DO YOU HAVE RELIABLE TRANSPORTATION?
AUTO INSUREANCE PROVIDER AND POLICY # (REQUIRED)_______________________________________________
ARE YOU OVER THE AGE OF 18?
*IF UNDER 18, HIRE IS SUBJECT TO VERIFICATION OF MINIMUM AGE REQUIREMENT

MOST PERFORMANCES TAKE PLACE WEEKDAY MORNINGS ANY TIME BETWEEN 6A-3P. PLEASE LIST YOUR HOURS OF AVAILABILITY
DURING THE WEEK.

MONDAY TUESDAY WEDNESDAY

THURSDAY FRIDAY
Mandatory rehearsals will take place _______________________________.
Please list any conflicts on these dates:

Performing in The Imagination Machine requires a good deal of physicality. Do you have any physical limitations which would make
performing difficult?

PLEASE PROVIDE AT LEAST 3 PROFESSIONAL AND/OR PERSONAL REFERENCES (NAME AND PHONE NUMBER):
#1 ___________________________________________ #2__________________________________________

#3____________________________________________ #4__________________________________________

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please explain:

* A CRIMINAL BACKGROUND CHECK IS NECESSARY FOR INSURANCE AND ED CODE COMPLIANCE PURPOSES. (SEE ATTACHED
CRIMINAL BACKGROUND CHECK DISCLOSURE FORM) RESULTS WILL REMAIN CONFIDENTIAL.

APPLICANT’S NAME: DATE:

SIGNATURE: