NEW MEMBER TALENT INQUIRY

One of 123Talent's focuses is discovering new talent and transforming them into working superstars. If you are a talent that is interested in being a music artist or being a part of the entertainment business (Music, Actor/Actress, Model etc) then 123Talent, Inc. wants to hear from you.

Please fill out the 123Talent, Inc application form and press submit when you have completed and 123Talent, Inc will get back to you.

Upon your completion of this application please also email (123talent@gmail.com & 123talentvicepresident@gmail.com) a bio of yourself and a photo. If you are a music artist please submit three of your best music tracks.

What kind of talent are you?
	Publicity & Public Relations Actor Music Artist Actress Model Sports Personality

Date:
How did you hear about 123Talent, Inc.?

PERSONAL INFORMATION

Name:
Home Phone:
Other Phone:
Email:
Address:
City:
State:
Zip:
Have you ever been convicted of a felony:	Yes No
If yes, please explain and give dates:
Are you at least 18 years of age?	Yes No
If not yet 18, how old are you?
If not yet 18, do you have parents' consent?	Yes No
List any friends or family who currently work for 123Talent, Inc.:

CITIZENSHIP

Can you, after employment, submit a birth certificate or other proof of US Citizenship, or documents verifying your right to work in the United States? Yes No

EDUCATION

Highschool:
Graduated Highschool:	Yes No
College:
Graduated College:	Yes No
Other School:
Graduated Other School:	Yes No

EMPLOYMENT HISTORY

Have you ever been signed to a music deal or a professional management company?	Yes No
If yes, supply details:

Employer	Dates	Position & Duties	Still Employed
			Yes No
			Yes No

PERSONAL REFERENCES

Name	Address	Phone

Are you comfortable with 123Talent, Inc. running a background check on you?

Yes No

PLEASE READ CAREFULLY

I ACKNOWLEDGE THAT, IN CONNECTION WITH MY APPLICATION, ASSIGNMENT OR PROMOTION WITH123TALENT, INC. I HAVE BEEN ADVISED IN WRITING THAT AN INVESTIGATIVE CONSUMER REPORT MAY BE AS TO MY CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. I FURTHER ACKNOWLEDGE THAT I HAVE BEEN ADVISED IN WRITING BY 123TALENT< INC THAT, UPON WRITTEN REQUEST, WITHIN A REASONABLE TIME, ADDITONAL INFORMATION AS TO THE NATURE AND SCOPE OF THE REPORT. THIS WRITTEN REQUEST SHOULD BE ADDRESSED TO 123TALENT, INC WHERE THE APPLICATION IS FILED.

I hereby authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any and all information concerning my qualifications for the position applied for and release the same from any liability resulting from providing such information. I also acknowledge that, from time to time123Talent, Inc may be required to submit certain information with regard to my employment or application to the various state and federal government agencies. I hereby authorize 123Talent, Inc to provide such information and release the company, its agents, assigns and subsidiaries from any liability resulting from submitting such information. I acknowledge that I meet minimum age requirements for employment set by Federal and State Laws.

I hereby certify that all the statements and answers set forth on this application from are complete and true, and I understand that if, subsequent to employment, any of such statements and answers are found false that the information has been omitted, such false statements or omissions will be just cause for the termination of my employment at123Talent, Inc. I acknowledge 123Talent, Inc is an equal opportunity employer and my application will be considered based upon my qualifications only.