Certification of Proficiency

Certification of Proficiency

Testing Request Form
Please fill out the Volunteer Certification form to quaifiy to be come a Certifed Production Volunteer.
Full Name *
Contact email *
Contact Phone *
Website
optional
What Certification Path are you applying for? *

Studio Operations Director Producer Post-Production
What areas of focus are you applying for? *

Studio Camera Lighting Floor Manager Field Production Audio Editing Producer Director Telepromter Technical Director Character Generator
Have you paid your membership fee?
Productions Worked

You must have worked on four productions in the same path required to receive a certificate in that area.
1. Production Information
Name of Production *
Crew Position(s) Filled *
Producer
Date of Production *
2. Production Information
Name of Production *
Crew Position(s) Filled *
Producer
Date of Production *
3. Production Information
Name of Production *
Crew Position(s) Filled *
Producer *
Date of Production *
4. Production Information
Name of Production *
Crew Position(s) Filled *
Producer
Date of Production *
Additional Information
Acknowledgement

I understand that I will be expected to follow established rules, policies, codes of conducts and procedures set out by Pasadena Media. I understand this information may be accessed as an open listed for distribution to community members for Pasadena Media production purposes only. I understand that my privilege to volunteer, intern and/or hands-on training carries certain risks such as personal injury, property damage or disability and I hereby assume full all risks as a volunteer. I hereby understand that my photograph may be taken for the purpose of promotion of services. I am aware that I will not receive payment of any kind for my participation and grant Pasadena Media the rights to use regardless of my future association with the facility and for an unrestricted time.
*

Check to Acknowledge Statement above
Are you over 18 years olds? *

YES No, I must get my Parent/Guardian's permission
Digital Signature *
Today's Date

Month Day Year
Others Area(s) of Interest?

Studio Camera Lighting Floor Manager Field Production Audio Editing TV Producer TV Director Teleprompter Technical Director Character Generator
Should be Empty:

Certification of Proficiency

Productions Worked

Acknowledgement