• Regulars Nominating a Small Business Questionnaire

  • Hi there. Thank you for your interest in our project featuring regulars nominating their favorite local small businesses for a digital marketing campaign.

    Please fill out the survey below ASAP. It should only take a few minutes. Once submitted, you may be contacted by a GENUINE Casting Team member for a follow-up video interview to be viewed by our team and clients.

    If you experience difficulty taking this survey or have questions about the project, please contact GENUINE at outreach@genuinerp.com 

    If you have any questions about the information you provide to us, you can read GENUINE's Privacy Policy.

    Okay, let's get started!

  • Format: (000) 000-0000.
  • Are you legally permitted / allowed to work in the United States?*

  • We'd like to learn more about you, so tell us a little about yourself.

  • Now we'd like to learn about you and the small business you are nominating.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Thank you so much. Just a few more questions and you'll be done.

  • What is your age range?*
  • What is your ethnicity/race?*

  • Our company and our client do not discriminate on the basis of gender identity or gender expression. In order to track the effectiveness of our recruiting efforts and ensure we consider the needs of our project, please consider the following questions optional.

  • What is your gender?
  • What are your gender pronouns?
  • As a part of the final selection process, would you consent to a Background Check?*
  • Rows

  • If selected for the final project, the production team will come to you to capture the story with you and the business owner. Filming is TBD this Fall (like September or October). 

  • How did you hear about this project?*

  • GENUINE is always looking for people to share their stories and appear in paid advertising campaigns for major brands including American Express, Chipotle, and Walmart to mention a few.

    If you would like to hear about our latest casting opportunities, join GENUINE's mailing list.

    YOU ONLY NEED TO REGISTER ONCE, so if you receive our emails, please check, "I am already on the GENUINE Mailing List".  Thank you!

  • Would you like to be added to GENUINE's mailing list?*

  • Thank you so much for taking the time to answer all of our questions.

     Please click on the "Submit" button to complete your survey.

  • Should be Empty: