Tanya Kersey | Hollywood Career Strategist | Hollywood Career Coach | Entertainment Industry Consultant | Hollywood Career Resources

Wel­come to the Coach­ing Club for Actors!

Please fill out the form below. I want to know who you are, what you’ve done, what you’re work­ing on, and what your chal­lenges and issues are so I can best serve your needs. Once I get this form, I will for­ward you all the details on your Coach­ing Club mem­ber­ship and how you can take advan­tage of the mem­ber resources avail­able to you.

ACTORS:

Please fill out this form as com­pletely as pos­si­ble. It will help me pre­pare for your par­tic­i­pa­tion in the Actors Coach­ing Club. Thank you.

Your Name
Your Email Address
Cell Phone
Home Phone
Work Phone
City/State/Country
Age Range	18–25 26–35 36–45 46–55 over 55
Sex	Male Female
Tal­ents	Actor Actor-Singer Actor-Dancer Actor-Singer-Dancer Singer Dancer Model Actor-Producer Actor-Writer Actor-Writer-Director Actor-Writer-Director-Producer
Brief bio­graph­i­cal sketch
Long-term goal(s) for your career
Biggest career challenge(s)
Do you have a picture/resume?	Yes No Yes but need a new one
Do you have a demo reel?	Yes No Work­ing on it
Do you have a website?	Yes No It’s being developed
Guild mem­ber­ships (list all)
Do you have an agent?	Yes No
Do have a manager?	Yes No
Any­thing else you’d like to add?
Attach any files you’d like me to see
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