Per Diem Stage Builder Application Please fill out application as accurately as possible Please enable JavaScript in your browser to complete this form.Name: *FirstLastEmail: *EmailConfirm EmailPhone Number: *Address: *Address 2:City: *State: *Zip Code: *Date Available: *Are you a citizen of the United States? *YesNoIf no, are you authorized to work in the U.S.? *YesNoN/AHave you ever been convicted of a felony? *YesNoIf yes, explain:High School: *Did you graduate? *YesNoCollege:Did you graduate?YesNoPlease list any relevant experience:Please list 3 references with phone numbers (personal or professional): *Are you currently employed anywhere else? *YesNoDo you have a valid drivers license and reliable transportation? *YesNoThis is an "on call" position, are you going to be work as needed? *YesNoUse can use this field to paste your resume:Submit