Account Information (*Indicates a required field)

Name

Legal Name

Salutation:

<none> Dr. Mr. Ms. Mrs. Miss

Click here if same as name at left.

First Name:

*

First Name:

Middle Name:

Middle Name:

Last Name:

*

Last Name:

Birth Date:

01 02 03 04 05 06 07 08 09 10 11 12 / 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 / 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Will Travel?

yes no

User Name:

*

Password:

*

Password (again):

*

Contact Information (This information will NOT be displayed to the public or clients)

Email Address:

*

Address:

*

Address 2:

City:

*

State:

< none listed > AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA ME MD MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY *

Zip (5 digit):

*

Country:

< none listed > Afghanistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Island Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Curacao Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Eq. Guinea Eritrea Estonia Ethiopia Finland France G.Bissau Gabon Gambia Georgia Germany Ghana Gibraltar Grand Cayman Greece Greenland Grenada Guadeloupe Guatemala Guinea Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Madeira Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Montserrat Morocco Mozambique Namibia Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Northern Africa Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S.Tome and Prinicipe San Marino Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra-Leone Singapore Sint Maarten Slovak Republic Slovenia Somalia South Africa South Korea Spain Sri Lanka St. Kitts and Nevis St. Lucia St. Vincent and The Grenadines Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tanzania Thailand Togo Trinidad y Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands UAE Uganda Ukraine United Kingdom United States Uruguay Uzbekistan Vatican City State Venezuela Vietnam Virgin Islands Yemen Zambia Zimbabwe

Phone:

Fax:

Cell:

Pager:

Service:

Business:

Tel Preference:

Home Phone Cell Phone Service Phone Business Phone

Guardian Information (if applicable)
If you are 17 years or younger, you must complete the parent/guardian contact information section of this form.

First Name:

Last Name:

Relationship:

Home Phone:

Business Phone:

Cell Phone:

Work Phone:

Fax:

Pager:

Service:

Preferred:

Home Phone Business Phone Cell Phone Work Phone Pager Service

Physical Information

Sex:

Male Female

Ethnicity:

< none listed > African-American/Black Asian Caucasian Hispanic Indian/Pakistani Middle Eastern Native-American

Age Range:

0-5      5-10      10-15      15-20      20-25      25-30      30-35      35-40      
40-45      45-50      50-55      55-60      60-70      70 ^      

Eye Color:

< none listed > Black Blue Brown Green Hazel Violet

Hair Color:

< none listed > Auburn/Red Black Blonde Brown Gray/White Salt & Pepper

Hair Length:

< none listed > Balding Bald/Shaved Below Shoulder Braids/Twists Chin Length Crew Cut Dredlocks Short Contemporary Shoulder Length

Facial Hair:

< none listed > Full Beard Goatee Light Beard Moustache Sideburns

Weight:

Height:

ft in

Special Characteristics:

Shoe

< none listed > 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 15.5

Glove:

Ring:

Male Measurements

Shirt / Top Size:

< none listed > XSmall Small Medium Large XLarge XXLarge XXXLarge

Suit:

< none listed > 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 < none listed > Short Regular Long X-Long

Neck

< none listed > 13 13.5 14 14.5 15 15.5 16 16.5 17 17.5 18 18.5 19 19.5 20 20.5 21

Sleeve:

< none listed > 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Inseam:

< none listed > 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Waist:

< none listed > 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54

Female Measurements

Shirt / Top Size:

< none listed > XSmall Small Medium Large XLarge XXLarge XXXLarge

Dress:

< none listed > 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

Bust:

< none listed > 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 < none listed > AA A B C D DD DDD

Waist:

< none listed > 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Hips:

< none listed > 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54

Resume Information

Union Status:

AEA      AEA Candidate      AFTRA      AFTRA Eligible      AFTRA Must Join      
Financial Core      Non-Union      SAG      SAG Eligible      SAG Must Join      

FILM

TV

COMMERCIAL

INDUSTRIAL

VOICEOVER

THEATER

PRINT

LIVE EVENT/PROMOTION

TRAINING

AWARDS

SPECIAL SKILLS

Headshots / Photographs - Please send at least one photo of yourself!

You may only send us 2 images until you are approved and activate your account.
Photos posted should be sized at a minimum of 350 pixels wide. Images less than 350 pixels wide will lose quality and may appear blurry.

Please email Photos to
 

talent@cenproductions.com

Audio / Video Clips

Once your account is set up and approved, you will have access to add audio and video clips to your portfolio.

 Comments

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I have read and agree to the Disclaimer

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