Actor Information - VitalTalk

VitalTalk Actor Interest Form

Thanks for your interest in working with VitalTalk! VitalTalk teaches communication skills courses to clinicians who work with patients facing serious illness. We hire actors to portray patients or family members of patients, allowing our course participants to practice communication skills in a simulated environment.

If you are interested in being considered for hire to play one of our simulated patients, please enter the following information below. We will contact you if you are a match for one of our courses in your area.

Contact Information

First Name

Middle Name

Last Name

Preferred First Name (if different)

Mobile Phone

Alternate Phone

Mailing Address

Country

City

State

Postal Code

Actor Information

Actors for VitalTalk courses play the role of patients or their family members. We ask for the following information to best match you with the VitalTalk cases you may be able to play.

Gender

Gender, Self Describe

Preferred Gender Pronouns

Date of Birth (MM/DD/YYYY)

What age range do you typically play (select all that apply)? *

Age: 20-30

Age: 31-40

Age: 41-50

Age: 51-60

Age: 61-70

Age: 71+

Race / Ethnicity

Please specify

Other than English, are there any additional languages in which you would be comfortable acting in the VitalTalk method? (Please select all that apply.)

Other Language(s)

Please use this space to list any experience you have with VitalTalk National courses (run by VitalTalk) and/or PoweredBy courses (run by faculty/institution).

Uploads

Headshot

Permitted image formats: .gif, .jpg, .jpeg, .png

Resume or reel

Maximum file size: 30MB.

Actor Roster

VitalTalk will now offer an Actor Roster to Faculty members in hopes of making the process of putting on a local course easier and more efficient by having access to a list of actors they can reach out to whom are already trained in the VitalTalk method. This roster will also open actors up to more opportunities for roles than VitalTalk itself can feasibly provide.

Note: Faculty run/local courses are not connected with VitalTalk National, and all details will be handled between the actor and the faculty member/their institution.

Would you like to be listed on the Actor Roster?

YesNo

Contact Information