Staffing Agreement Wisconsin High School Theatre FestivalWe also collect a W-9 tax form for each person. W-9 (Taxpayer Identification) Form (download and print)Name* First Last Email* Cell Phone*Day PhoneHome Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Conviction Status*NOTE: Knowingly providing false, incomplete or inaccurate information on this registration form or any other report to the WHSFA will result in immediate suspension.I HAVE NOT been convicted or adjudicated of an offense involving a minor or any sexual offense, an offense involving any illegal/illicit drugs, and I am not currently serving a sentence or probation/parole period for any offense.I HAVE been convicted, or adjudicated with a finding of fault, guilt, or violation, in regard to an offense involving a minor or any sexual offense, an offense involving any illegal/illicit drug or controlled substance; or I am currently serving a sentence or a parole/probation period for any offense or adjudication of guilt imposed by any court, judge or administrative body. (You must explain in full detail and attach letter to form. Include nature and date of conviction, dates and time served probation/parole requirements, and dates of probation/parole).Position*AdjudicatorStaffLetterDo you need a letter from our office to your school administration, certifying professional development hours (this may be needed to obtain penalty-free leave time). YesLodging*Do you need a hotel room?NoYes-singleYes-will shareRoommate Name*Time frame(s)Please select any/all time frames you are available. Select All Fri. - 7:00am - 12:45pm Fri. - 12:00pm - 5:15pm Fri. - 4:00pm - 6:30pm Sat.- 7:00am - 12:00pm Sat.- 11:00am - 5:15pmTime frame notesPlease let us know if you would need to come slightly later or leave slightly earlier for any of the time frames above. Also, please let us know if you prefer less time off between shows (some people work more on momentum, while others prefer to pace their time).Adjudicator BiographyPlease type or paste below a brief, 100-word biography to: firstname.lastname@example.org.Terms and Agreement*I am entering into this agreement as an independent contractor, and I understand I will be compensated an honorarium at the rate of $15 per 90-minute time block (two one-acts) that I am available to work the festival, up to a total of $210. I also understand I will be reimbursed for mileage at the rate of 50¢ per mile, and up to 250 miles, roundtrip. I further understand that Federal and State Income Taxes will not be withheld, and that I am responsible for any state and Federal revenue reporting. I further agree that I am responsible for my own workers' compensation insurance; failure to obtain coverage constitutes a rejection of workers' compensation benefits. I agree to the Terms of ServiceUpload W-9Snap a pic with your phone or scan/email the completed/signed form. Otherwise, turn in a physical copy. Drop files here or Accepted file types: jpg, gif, png, pdf.CommentsThis field is for validation purposes and should be left unchanged.