Client Services Sign Up CLIENT SERVICE INFORMATION + EXPRESSION OF INTEREST Please fill in all fields, attach a CV, cover letter, current photograph and submit. Name* Phone* Email* Address* Street Address City State / Territory / Region Postcode / ZIP AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country HiddenAddress ABN* Do you have a website?* Yes No Website* Relevant account service role within last agency?* Account Executive Account Manager Senior Account Manager Account Director Senior Account Director Other* Exact titles may differ from agency to agency so please select the most relevant or include in "Other"Other expertise * If you selected Other in the above, please provide detailsWhat is your preferred role?* What is your standard day rate?* What agencies have you worked with?* What have your roles been?* Have they been client facing? What brands/clients have you worked on/with?* What categories have you worked on? Banking & Finance Alcoholic Beverages Travel & Tourism Entertainment & Media Automotive Retail & Restaurant FMCG ? (Nescafé, Cadbury, Johnson&Johnson) Telcos & Technology Government & Organisations Health & Beauty Fashion Electrical Appliances Gambling & Betting Relevant production experience*Please include any relevant info where you have played a pivotal role in bringing a campaign to life. You must have had a lead client facing role; managed the idea from creative through to production within the agency, along with being on set. If you managed the post production please include also.Please also ensure you have included a link to the work if it's still live. NB: This could be a TVC campaign, print, online content or anything else that you feel has covered the above. What is the main skillset or role that you normally get booked for?* What software are you familiar with?* Please provide 2 x references/referees with contact numbers* Which recruitment agencies are you currently registered with? Are you happy to travel on Production?* Yes No Do you have a current Working with Children Certificate?* Yes No Do you have a current First Aid Certificate?* Yes No Do you own a car or have access to one you are able to use?* Yes No Any other relevant qualifications?How did you hear about Short Term Girlfriend? Attachments*Please attach your current CV, cover letter, current photograph, any references or testimonials. Drop files here or Select files Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 64 MB. EmailThis field is for validation purposes and should be left unchanged.