Name *FirstLastStreet address *City/state/zip code *SSN# *222-22-2222Drivers License # *Phone # *555-555-5555Email *EmailConfirm EmailI AUTHORIZE TVB TO VERIFY MY PERSONAL INFORMATION AND TO CONDUCT A STANDARD CRIMINAL BACKGROUND CHECK TO ENSURE THAT ANYTHING IN MY BACKGROUND WOULD NOT DISQUALIFY ME FROM WORKING DIRECTLY WITH TVB PLAYERS *AGREE SIGNATURE *FirstLastDate *00/00/0000CommentSubmit
