TALENT INFORMATION FORM

Fill out form and click "submit" to send to SMT

Name Date Sex

 Address

City State Zip

Social Security # Date of Birth

Email

Phone Cell

Name of closest relative Relationship

Contact Number

Name another person that will know how to contact you:

Contact Number

Employment Reference Phone

Tell us about yourself: (work experience, hobbies, activities, honors, awards etc.)

I understand that the promotional work I will do for Southern Marketing Talent/MMA is in the nature of contract labor and that Marketing and Management is not responsible for any employment taxes.