Publicity Information Form

First Name*

Last Name*

Show Name*

Character*

City*

Interests & hobbies

Other than being an actor, I......(work at, family, etc)

Languages?

Have any articles ever been written about you in the media? When & where?

Is there anything about you that could make a human interest story?

What high school, college, University did you attend?

What newspapers and news programs do you read/watch on a regular basis?

What websites & blogs do you read on a regular basis?

Religious, ethnic affiliations?

E-mail Address