|
Membership Type *
|
|
|
|
|
|
|
Please accept the agreement
|
|
Last Name *
|
* Last name is required.
|
First Name *
|
* First name is required.
|
Middle Init.
|
|
|
Legal Name/Legal Entity
|
|
Classification *
|
* Classification is required.
|
Soc. Sec No *
|
* SSN is required
|
|
Gender *
|
* Gender is required.
|
Marital Status *
|
* Marital status is required.
|
Date of Birth *
|
* Date of birth is required.
|
|
Home Phone
|
|
Cell Phone *
|
* Cell phone is required.
|
Work Phone
|
|
|
Email *
|
* Email is required.
|
Ethnicity:
|
|
|
|
HOME ADDRESS INFORMATION:
|
BILLING ADDRESS INFORMATION (if different):
|
|
Street Address *
|
* Street address is required.
|
Street Address
|
|
|
Apt, Suite, Bldg.
|
|
Apt, Suite, Bldg.
|
|
|
City *
|
* City is required.
|
City
|
|
|
State *
|
* State is required.
|
State
|
|
|
Postal / Zip Code *
|
* Zip code is required.
|
Postal / Zip Code
|
|
|
Country *
|
* Country is required.
|
Country
|
|
|
|
|
Check theatre venues you have worked in:
|
|
Experience
|
|
|
Affiliation:
|
|
|
Position
|
|
|
Organization Name
|
|
Other Union Affiliations:
|
|
|
|
REPRESENTATION INFORMATION (if applicable):
|
|
Agency Name
|
|
First Name
|
|
Last Name
|
|
|
Phone
|
|
Fax
|
|
Email
|
|
|
Street Address
|
|
Apt, Suite, Bldg.
|
|
|
City
|
|
State
|
|
Postal / Zip Code
|
|
|
Country
|
|
|
How were you referred
to SDC?
|
|
SDC and AGMA have a reciprocal agreement.
Are you a current member of AGMA?
|
|
|
|
RESUME UPLOAD:
|
|
|
Please do not click the Submit Application button more than once. Application takes a moment to process.
|