Please enable JavaScript in your browser to complete this form.1Personal Info2Job Preferences3Lead Roles4Comments5Review6SignaturePersonal InfoLayoutFIrst Name *Last Name *Email *Phone *City *Are you willing to travel for work? *YesNoIf yes, how many shows are you willing to travel for per year?What cities are you willing to work as a local in besides the one you live in? *Do you currently have an LLC/EIN? *YesNoIf not, do you plan on getting one set up within the next few weeks?YesNoDo you currently carry your own Worker's Comp. insurance? *YesNoNext -> Job PrefsJob Preferences This section will help us keep you busy when things are slow. Please only select the roles you are willing to accept rather than selecting every role you are capable of doing. **SELECT ALL THAT APPLY** Show ManagementShowManagementPositionsProducer/Show Caller/TDProject ManagerTechnical DirectorTechnical Director SpecialistStewardAudioAudioPositionsAudio COMM TECHAssisted Listening TECHAudio Op (A1)Audio RF COORDAudio SpecialistAudio Tech 2 (Show) Audio Tech (Assist)VideoVideoPositionsCam OpPTZLED EngineerLead Engineer (EIC)Media Server OpProjection SpecialistProjectionistTape Op 1Record OpGFX OpGFX Op SpecialistTelepromperVideo AssistLightingLightingPositionsLighting Designer (GS)Master ElectricianLighting Tech SpecialistLighting Tech 1 (programmer)Lighting Tech (Assist)Meeting RoomsMeetingRoomPositionsSpeaker ReadyMeeting Room CoordinatorBreakout OpFloaterExhibit TechSwitchersSwitcherPositionsE2S3Barco 902MiscellaneousMiscellaneousPositionsMaster CarpenterLead CarpenterCarpenterGAVAudio/Video/lighting AssistStagehandPusherExpo CarpenterIT/NetworkingAdditional PositionsAdditionalPositions(Job Preferences)PrevNext -> Lead RolesLead Roles Now's the time to tell us what you're really good at. Understandably, our clients are only willing to travel techs for lead roles like A1's, LD's and Projectionists for instance. If you are still learning the role, please do not tell us you are ready to be the point person in a General Session or similarly high responsibility environment. **FILL OUT AS MANY ROLES AS YOU LIKE STARTING WITH WHAT IS YOUR MOST PROFICIENT ROLE** #1 RoleTitle1_Role Title# Of Shows1_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification1_Role Relevant Equipment/Software/Experience/CertificationAdd More Roles? Additional Roles: 0 Drag the slider forward to add more roles. **WARNING: Once you add more roles, moving the slider back will remove and reset the data for those roles**#2 RoleTitle2_Role Title# Of Shows2_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification2_Role Relevant Equipment/Software/Experience/Certification#3 RoleTitle3_Role Title# Of Shows3_Role # Of Shows01-1011-2526-5050-100100+Relevant Equipment/Software/Experience/Certification3_Role Relevant Equipment/Software/Experience/Certification (copy)#4 RoleTitle4_Role Title# Of Shows4_Role # Of Shows01-1011-2526-5050-100100+Relevant Equipment/Software/Experience/Certification4_Role Relevant Equipment/Software/Experience/Certification#5 RoleTitle5_Role Title# Of Shows5_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification5_Role Relevant Equipment/Software/Experience/Certification#6 RoleTitle6_Role Title# Of Shows6_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification5_Role Relevant Equipment/Software/Experience/Certification (copy)#7 RoleTitle7_Role Title# Of Shows7_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification7_Role Relevant Equipment/Software/Experience/Certification (copy) (copy)#8 RoleTitle8_Role Title# Of Shows8_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification8_Role Relevant Equipment/Software/Experience/Certification#9 RoleTitle9_Role Title# Of Shows9_Role # Of Shows01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification9_Role Relevant Equipment/Software/Experience/Certification #10 Role Title10_Role Title# Of Shows10_Role # Of Shows 01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification10_Role Relevant Equipment/Software/Experience/Certification#11 Role Title11_Role Title# Of Shows11_Role # Of Shows (copy)01-1011-2526-5051-100100+Relevant Equipment/Software/Experience/Certification11_Role Relevant Equipment/Software/Experience/Certification PrevNext -> CommentsCommentsWhat are your next steps in industry and are there any courses or certs you plan to or want to partake in?General Comments/ConcernsWe all like working with our buddies. If there's anyone you'd like to recommend to us please leave some information about them so we can hopefully get you working on some shows together at some pointReferrals? 0 #1 ReferralName1_Referral_NameEmail1_Referral_Email *Phone1_Referral_PhoneRole1_Referral_Role#2 ReferralName2_Referral_NameEmail2_Referral_Email *Phone2_Referral_PhoneRole2_Referral_Role#3 ReferralNameName3_Referral_NameEmail3_Referral_Email *Phone3_Referral_PhoneRole3_Referral_Role#4 Referral Name3_Referral_NameEmail4_Referral_Email *Phone4_Referral_PhoneRole4_Referral_Role#5 ReferralName5_Referral_NameEmail5_Referral_Email *Phone5_Referral_PhoneRole5_Referral_Role#6 ReferralName6_Referral_NameEmail6_Referral_Email *Phone6_Referral_PhoneRole6_Referral_Role#7 ReferralName7_Referral_NameEmail7_Referral_Email *Phone7_Referral_PhoneRole7_Referral_Role#8 ReferralName8_Referral_NameEmail8_Referral_Email *Phone8_Referral_PhoneRole8_Referral_Role#9 ReferralName9_Referral_NameEmail9_Referral_Email *Phone9_Referral_PhoneRole9_Referral_Role#10 ReferralName10_Referral_NameEmail10_Referral_Email *Phone10_Referral_PhoneRole10_Referral_RolePrevNext -> ReviewReviewUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PrevNext -> SignatureBy signing this document you are committing to continue choosing ShowPhaze as your preferred vendor once you become established with our clients. If you already have preferred relationships with our clients through other vendors you may still submit your information in case our priority contractors are unavailable. You are also stating that the information you have provided is true to the best of your knowledge. There may be additional vetting required once this form has been submitted. Regardless, it is paramount that everyone is being truthful about their current capabilities. Type Name To SignPrevSubmit