Freelancer_Survey

Lee Laughlin Independent Freelancers Trust

Oklahoma Television Freelancer Survey

In order to better serve our Oklahoma Freelance Community, we would like to have a little information about you. LIFT is more than a safety net for those in need, LIFT is a focal point for our freelance community. By sharing your information with us, we will more easily be able to communicate with you about upcoming events and issue within our community.

Please take a few moments and complete the survey below.

Thanks.

First Name:

Last Name:

Email:

Would you like to receive emails from LIFT about upcoming events and campaigns?

Address:

City:

State:

Zip:

Home Phone:

Mobile Phone:

Date of Birth:

Single:

Married:

Spouse or Partner:

Dependent Children:

Emergency Contact:

Emergency Contact Phone:

Emergency Contact Email:

Freelance Status:

Fulltime:

Part-Time:

Disabled

Retired

Postions Currently Working: (Check all that apply)

To select more than one item, hold the command ⌘ key on a mac and the Alt. key on a PC.

Number of Years in Television:

Number of Years Working in Oklahoma:

This field must be left blank

A1
A2
AD
Camera Operator - Hand Held
Camera Opertor - Hard
Camera Operator - ENG
Director
Engineer
E2
EVS - Lead
EVS - RO
Graphics
Graphics Assistant
Producer
Robo
Stage Manager
TD
TOC
Utility
V1
V2