COLLECTIVE MEMBERSHIP SUBMISSION FORM

If you need to submit your Headshot, Resume, Bios, or Reel please upload those items directly to your personal folder on The Collective Google Drive. If you have lost access to your folder, please contact Membership.

Status

This submission is:

New

Adding to a previous submission

A correction or deletion to a previous submission

Name

If you use a middle name or a middle initial, please include it in the "First Name" field.

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile

(###)

###

####

Twitter

Instagram

Facebook URL

http://

IMDb URL

http://

Website

http://

Hometown & Places You've Lived

Where are you from originally? Where else have you lived? For how long? Why?

Education

High School / College / Other Professional Training

Teachers & Mentors

Press & Media Contacts

Journalists / Bloggers / YouTube / Podcasters List names, publications/companies, and areas of expertise and how well you are connected with each person. No need to list any contact information here.

Theaters, Theater Groups, Film/Video Production Company Contacts

List names, companies and specialty areas and how well you are connected with each person. No need to list any specific contact information here.

"Six Degrees" People

CEOs / Legislators / Founders / Activists / Artists / Community Leaders List any other people we should know about, from all walks of life. No need to list specific contact information here.