Accounting Department Application Form Page 3

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Page 2 - ACCOUNTING DEPARTMENT APPLICATION FORM
FILM & TELEVISION EXPERIENCE
Please read before proceeding:
Any intentional misrepresentation of your experience may result in termination of Union status. Only days worked under
authorized IATSE Local 891 work permits or dispatch shall count towards membership in the Local.
Work experience must be verified by copies of employment records such as, but not limited to, work permits, time sheets,
pay stubs, letters of reference, etc.
If you have previously applied to this department, please highlight any recently acquired work experience on this application
form and on your resume.
Production Title:
Dates:
Feature, Television, Video, or Commercial:
Position/Duties:
Reference Name and Phone Number:
Production Title:
Dates:
Feature, Television, Video, or Commercial:
Position/Duties:
Reference Name and Phone Number:
Production Title:
Dates:
Feature, Television, Video, or Commercial:
Position/Duties:
Reference Name and Phone Number:
Production Title:
Dates:
Feature, Television, Video, or Commercial:
Position/Duties:
Reference Name and Phone Number:
RELATED EXPERIENCE/SPECIAL SKILLS:
EDUCATION/TRAINING/CERTIFICATES/LICENSES (please include copies):
Revised Oct. 2015

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