This section provides information for the completion of two forms, the
application and the production header/summary sheet.

HOW TO FILL OUT THE APPLICATION FORM - NYQL

Please use blue or black ink and write legibly.

NAME: As it should appear on the Qualification List.

ADDRESS: Where the DGACA-East can mail official placement notification.

SOCIAL SECURITY #:

DAYTIME PHONE #/CELL/PAGER #/E-MAIL ADDRESS: Where the applicant can be reached during the day to answer questions about his or her application.

CLASSIFICATION APPLYING FOR (check one): Second Assistant Director (2nd AD), First Assistant Director (1st AD), Multi-Camera First Assistant Director (MC1st AD), or Unit Production Manager (UPM).

INITIAL/UPGRADE/ELIGIBLE/INTERCHANGE APPLICATION (Indicate one):

For each project you have worked on (beginning with the most current) indicate:

PROD TITLE: Production Title (working title and, if different, release title)

PROD CO: Production Company/Studio

PROD CO ADDRESS:

CAM: i.e., Single or Multi-Camera

MEDIA: i.e., Film, Tape

TYPE: i.e., Feature, Episodic, TV Movie, Special, News, etc.

JOB TITLE: Your job title. If you worked in more than one job classification, indicate the number of days worked in each classification.

DATES OF EMPLOYMENT: From the first day of work through to (including)the last day.

NUMBER OF WORK DAYS: Divide the number of days worked into three categories: prep, shoot, or wrap. Divide shoot days into two categories: studio or distant location.

• Paid travel days are counted as prep days.
• Camera blocking days and camera test days are counted as shoot days.
• For placement as a Multi-Camera First Assistant Director every workday of a week in which shooting occurs is counted as a shoot day.
• A distant location is a location on which an employee is required by the employer to remain away from home and be lodged overnight.
• Applicants are not credited for any work without proof of payment.
• Days paid but not worked (i.e. holiday, hiatus, idle location day) are not credited.
• One day of work is credited when an applicant is paid for two jobs in one day.

TOTALS: Total the Number of Work Days on each page, and indicate the Grand Total of all days worked on the first page.

25%/75% The requirements for placement state that 75% of days worked must be spent with the actual shooting company. Therefore, 75% of the minimum days required must be shoot days.

If the requirement is a minimum of 350 days, at least 263 of the 350 days must be shoot days.

If the requirement is a minimum of 260 days, at least 195 of the 260 days must be shoot days.

If the requirement is a minimum of 200 days, at least 150 of the 200 days must be shoot days.

PROD TITLE: Production Title (working title and, if different, release title)

PRODUCERS: Producers Names

DIRECTOR : Director's Name

UPM : Name of the Unit Production Manager

1^st AD's/SM's (list all):   Name all Assistant Directors or Stage Managers

2^nd AD's (list all): Name all Second Assistant Directors (key, second 2^nd,additional)

DOCUMENTATION :  Check each form of documentation included

DATES / TYPES OF DOCUMENTS:

DATES:  Specify the documents dates (i.e. “call sheet #1 mm/dd/yy, #18 mm/dd/yy” or  call sheets #1 mm/dd/yy through and including call sheet #33 mm/dd/yy.”

TYPES:  i.e. paycheck stubs, earning/pension statements, 1099’s, etc.