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NAME(Required)

Please put your legal first name. This entry should match the information previously submitted on your inquiry form. If you use an initial or multiple first names please put them in the First Name field. If you use multiple last names please put them in the Last Name field.

First

Last

Email(Required)

Address(Required)

Where do you live?

Street Address

Address Line 2

City

State

ZIP Code

Social Security Number(Required)

Cell Phone(Required)

Home Phone(Required)

Preferred Pronouns(Required)

Current Gender Preference(Required)

Date Of Birth(Required)

Marital Status(Required)

I am a resident of the following State(Required)

Years Residing In The New York Area(Required)

Proof Of Residency Type(Required)

Upload Proof Of Residency(Required)

Max. file size: 50 MB.

Please note the Local 764 office verifies all submitted proofs of residency, and reserves the right to request additional forms.

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Please list other IATSE Local Union Memberships(Required)

Name of Production you have been hired on(Required)

Supervisor Name(Required)

Supervisor Email(Required)

Supervisor Phone(Required)

Anticipated Start Date(Required)

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