Performer Application
Full Name
Date of Birth
Email
Phone
Marital Status
Select One
Single
Married
Divorced
Separated
ADDRESS (street, city, state, zip)
SSN
Number of children
Do you have transportation?
Select One
Yes
No
Relevant Past Experience
Prescription Drugs (names and reasons for)
Legal History (Convictions: Sexual, Drug, Alcohol)
Who cares for children while you work?
Emergency Contact (Name, Relationship, Phone)
Shifts Interested In (Check all that apply)
11:30am - 6:30pm
1pm - 8pm
2pm - 9pm
3pm - 10pm
4pm - 11pm
5pm - midnight
7pm - 1:30am
Sun 5pm - 1:30am
Upload Photos/Videos/Camera (use + for each pic/vid)
Additional Comments
Submit Application
OK
