IATSE Local 77 Demographics and Skills Survey
Demographics/Contact Information
First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Status *
Required
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone *
Your answer
Email *
Your answer
How can Local 77 contact you? (Check all that apply) *
Required
Who referred you to Local 77? *
Your answer
Skills
Audio/Video Skills (Check all that apply)
Lighting (Check all that apply)
Rigging (Check all that apply)
Equipment Operator (Check all that apply)
Loader/Heavy Carpenter (Check all that apply)
Wardrobe (Check all that apply)
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