Application

Production Guide Application Form (for Illinois residents only)

ILLINOIS FILM DIRECTORY INFORMATION
(Complete One Form For Each Category)

TO LIST AS AN INDIVIDUAL

Category or Crew Position: *
Local Union or Guild (which one):
Name of Individual: *
Address: *
City: *
Zip Code: *
IL Phone: *
E-mail:
Website:
Fax:
Cell:
Individuals may include no more than three credits which must be for actual work performed in the category you have listed above. (1)
(2)
(3)

* We invite everyone listed in our Guide to complete the following information.

To assist in our goals of promoting diversity, we invite you to complete the following information. Completion of this part is optional! Please circle the ONE category that best represents your ethnicity and gender as an individual:

Gender:
Ethnicity:



TO LIST AS A COMPANY

Category or Type of Business: *
Name of Company: *
Contact Name: *
Address: *
City: *
Zip Code: *
IL Phone: *
Fax:
E-mail:
Website:
Cell:
Companies may include a description of services provided, equipment or facilities available. (25 words or less)

* We invite everyone listed in our Guide to complete the following information.

To assist in our goals of promoting diversity, we invite you to complete the following information. Completion of this part is optional! Please check off the section that is applicable to your business:

Minority Business Enterprise:

A business concern which is at least 51 percent owned by one or more minority persons, or in the case of a corporation, at least 51 percent of the stock of which is owned by one or more minority persons; and the management and daily business operations of which are controlled by one or more minority individuals who own it.


Female Business Enterprise:

A business concern which is at least 51 percent owned by one or more females, or in the case of a corporation, at least 51 percent of the stock of which is owned by one or more females; and the management and daily business operations of which are controlled by one or more females who own it.
Business Owned by A Person With A Disability:

A business concern which is at least 51 percent owned by one or more persons with a disability or, in the for-profit agencies for persons with a disability organized pursuant to Section 501 of the Internal Revenue Code of 1954; and the management and daily business operations of which are controlled by one or more persons with a disability who own it.



Required fields are indicated by *

 
Pat Quinn,
Governor 		Seal Warren Ribley,
Director		DCEO