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YOUTH AGENCY APPLICATION
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* Indicates required question
Youth First Name
*
Your answer
Youth Surname
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Your answer
Youth Date of Birth (DD/MM/YYYY)
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Your answer
Parent First Name
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Your answer
Parent Surname
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Your answer
Parent Email
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Your answer
Parent Phone Number
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Your answer
Are you currently represented by a Talent Agent?
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Yes
No
Please list any previous experience relevant to this application
*
Your answer
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Email your 3 min video to agency@centrestage.org.au. Please include the following description as your subject. "AGENCY APPLICATION - YOUTH - [Insert Name]
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