sur·vey

/sərˈvā/ • verb
look carefully and thoroughly at (someone or something), especially so as to appraise them.

Complete the form below to be considered for the CLEMCO.AV Streaming Database.

Contractor’s Name*
First Last
Email Address*
Phone Number*
Primary Market*
City State
What is your primary role as an Audio/Visual Technician?*
How many years of experience do you have?*
Upload your resume or biography if available.
Max. file size: 50 MB.
List all industry related certifications?
Certification Name Certification Number Certification Date Certification Expiration Date
Upload all available certification as one pdf document.
Max. file size: 50 MB.
List all familiar webcasting and conferencing platforms and level of comfort.
Platform Familiarity (Advance, Moderate, Novice)
List any Virtual Events you have worked over the past year.
Event Client Role
Do you have a private space in your home or office to work on a virtual event?*
Upload a screenshot of your upload and download speeds from your internet service provider.*
Max. file size: 50 MB.
Upload a screenshot of your computer system specs.*
Max. file size: 50 MB.
Do you have a secondary internet connection or cellular hotspot?*
Upload a screenshot of your upload and download speeds from your secondary internet service provider.*
Max. file size: 50 MB.
List any webcasting or production equipment you own or have access to.
Equipment
Do you have a backup power source, such as a UPS or generator, for your computer & internet router?*
If you have web development experience, please provide links to samples of your work.
Website Link
If you have content design or video editing experience, please provide links to samples of your work.
Website Link
Are you willing to take and share COVID-19 test results with CLEMCO.AV?*

*** Any personal information submitted will be secured and only used for it’s intended purpose.

sur·vey

Complete the form below to be considered for the CLEMCO.AV Streaming Database.

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Certification Name	Certification Number	Certification Date	Certification Expiration Date

Platform	Familiarity (Advance, Moderate, Novice)

Event	Client	Role

Equipment