Actor Form – Test Actor Application Form Step 1 of 2 50% Basic InfoName(Required) First Last Stage Name (if different) Pronouns Email(Required) PhoneAddress City State / Province / Region ZIP / Postal Code Accommodation RequestsPlease list any accommodation requests for your audition. Demographics (Optional)Optional section. This section will not be shared and is only used to determine waitlist order (priority is given to underrepresented actors.)Age Under 18 18-24 25-34 35-44 45-54 55-64 65 and over Gender Identity Cisgender Men Cisgender Women Gender Non-conforming Genderqueer Non-binary Transgender Men Transgender Women Two-Spirit My gender is not listed What would you describe yourself as?Select all that apply Asian Black/African American Hispanic/Latinx Middle Eastern and/or North African (MENA) Native American/Alaska Native Native Hawaiian/Pacific Islander White Mixed race or mixed ethnicity Eligibility2023 Membership Requirement(Required)You must be a current paid TPS or PATA (Portland Area Theatre Alliance) in order to apply. If you’re not a member, you can join via this form. I have an active TPS Membership I have an active PATA Membership I am NOT an active TPS Member but would like to join FilePlease upload your proof of PATA membership or email to shane@tpsonline.org.Max. file size: 32 MB.Experience(Required)You must meet at least one of these requirements. I have 4 professional stage credits (fully staged, non-academic, not self-produced) I have a college acting degree I am a member of Actors’ Equity Association or Equity Membership Candidate (EMC) I have a letter of recommendation from a local theater professional I do not meet these requirements but would like to join the waitlist. AEA/EMC(Required) I am a member of Actors’ Equity Association I am an Equity Membership Candidate (EMC) Acting Credits(Required)Please list 4 professional stage credits.Name of ProductionOrganizationYear Add RemoveCollege degree(Required)Please list your degree, college and year of graduation. AEA/EMC(Required) I verify I am a member of Actors’ Equity Association or am an Equity Membership Candidate, and may be asked to verify by TPS.Letter of RecommendationPlease upload your letter of recommendation, or email it to shane@tpsonline.org.Max. file size: 32 MB.Audition Info/SchedulingHeadshot(Required)You can change this later. Accepted file types: jpg, jpeg, png, gif.Resume(Required)PDF required. Accepted file types: pdf, Max. file size: 32 MB.Age(Required)Under 18 (Youth) auditions only available Friday March 3 from 3:30-5pm I am OVER 18 I am UNDER 18 Singing/Nonsinging(Required) I want to do a song in my audition Nonsinging audition Preferred Scheduling (Singing)(Required)Please choose your preferred hour for your audition. MONDAY, FEB 27: 2pm-3pm MONDAY, FEB 27: 3pm-4pm MONDAY, FEB 27: 4pm-5pm TUESDAY, FEB 28: 2pm-3pm TUESDAY, FEB 28: 3pm-4pm TUESDAY, FEB 28: 4pm-5pm THURSDAY, MARCH 2: 2pm-3pm THURSDAY, MARCH 2: 3pm-4pm THURSDAY, MARCH 2: 4pm-5pm FRIDAY, MARCH 3: 2pm-3:15pm NO PREFERENCE Available Scheduling (Singing)(Required)Please choose your availability for your audition, in the event your preferred time is not available. MONDAY, FEB 27: 2pm-3pm MONDAY, FEB 27: 3pm-4pm MONDAY, FEB 27: 4pm-5pm TUESDAY, FEB 28: 2pm-3pm TUESDAY, FEB 28: 3pm-4pm TUESDAY, FEB 28: 4pm-5pm THURSDAY, MARCH 2: 2pm-3pm THURSDAY, MARCH 2: 3pm-4pm THURSDAY, MARCH 2: 4pm-5pm FRIDAY, MARCH 3: 2pm-3:15pm Preferred Scheduling (Nonsinging)(Required)Please choose your preferred hour for your audition. MONDAY, FEB 27:10am-11am MONDAY, FEB 27: 11am-12pm MONDAY, FEB 27: 12pm-1pm MONDAY, FEB 27: 2pm-3pm MONDAY, FEB 27: 3pm-4pm MONDAY, FEB 27: 4pm-5pm TUESDAY, FEB 28: 10am-11am TUESDAY, FEB 28: 11am-12pm TUESDAY, FEB 28: 12pm-1pm TUESDAY, FEB 28: 2pm-3pm TUESDAY, FEB 28: 3pm-4pm TUESDAY, FEB 28: 4pm-5pm THURSDAY, MARCH 2: 10am-11am THURSDAY, MARCH 2: 11am-12pm THURSDAY, MARCH 2: 12pm-1pm THURSDAY, MARCH 2: 2pm-3pm THURSDAY, MARCH 2: 3pm-4pm THURSDAY, MARCH 2: 4pm-5pm FRIDAY, MARCH 3: 10am-11am FRIDAY, MARCH 3: 11am-12pm FRIDAY, MARCH 3: 12pm-1pm FRIDAY, MARCH 3: 2pm-3:15pm NO PREFERENCE Available Scheduling (Nonsinging)(Required)Please choose your availability for your audition, in the event your preferred time is not available. MONDAY, FEB 27:10am-11am MONDAY, FEB 27: 11am-12pm MONDAY, FEB 27: 12pm-1pm MONDAY, FEB 27: 2pm-3pm MONDAY, FEB 27: 3pm-4pm MONDAY, FEB 27: 4pm-5pm TUESDAY, FEB 28: 10am-11am TUESDAY, FEB 28: 11am-12pm TUESDAY, FEB 28: 12pm-1pm TUESDAY, FEB 28: 2pm-3pm TUESDAY, FEB 28: 3pm-4pm TUESDAY, FEB 28: 4pm-5pm THURSDAY, MARCH 2: 10am-11am THURSDAY, MARCH 2: 11am-12pm THURSDAY, MARCH 2: 12pm-1pm THURSDAY, MARCH 2: 2pm-3pm THURSDAY, MARCH 2: 3pm-4pm THURSDAY, MARCH 2: 4pm-5pm FRIDAY, MARCH 3: 10am-11am FRIDAY, MARCH 3: 11am-12pm FRIDAY, MARCH 3: 12pm-1pm FRIDAY, MARCH 3: 2pm-3:15pm Scheduling NotesAny other notes about your schedule.Additional Info (Optional)Give the auditors more information about yourself.BioWebsite Interested In Acting (Paid, hourly or large stipend) Acting (Small stipend) Acting (Volunteer) Student/Unpaid Theatre Film Education/Classes Arts Admin Agency Representation(Required) I have agency representation I do not have an agent and am looking for representation I do not have an agent and am not interested in representation Name of Agency(Required) Photo hosting upgradeAdd up to 10 additional photos for a $5 fee. 1 photo (FREE)10 extra photos ($5)Additional PhotosAdd additional actor photos here. Drop files here or Select files Accepted file types: jpg, gif, png, Max. file size: 32 MB, Max. files: 10. Costs2023 UGA Application Fee(Required)$10 nonrefundable application fee. Price: 2023 TPS Membership(Required)Membership required: join TPS for 2023. Price is Pay-What-You-Can. (Recommended amount: $100)100% of recommendation ($100)75% ($75)50% ($50)25% ($25)Choose Another AmountPay-What-You-Can(Required) Coupon Total Credit CardCard Details Cardholder Name Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Additional Notes