Avid Certified Support Representative Application
 
 
Note: If you are a current ACSR, you do not need to complete another application.
 
 
 
Candidate First Name:
 
Candidate Last Name:
 
E-Mail Address:
 
** This is where you will get most of your status updates, communications, mailings, etc.
 
 
 
Company Information:
 
Company Name:
 
Street Address 1:
 
Street Address 2:
 
City:
State:
Zip/Postal Code:
 
Country:
-- Select One --
Argentina
Australia
Austria
Bahrain
Bangladesh
Belgium
Bolivia
Bosnia-Herzegowina
Botswana
Brazil
Brunei
Bulgaria
Canada
Chile
China
Colombia
Croatia
Cyprus
Czech Republic
Denmark
Ecuador
Egypt
Estonia
Ethiopia
Finland
France
Germany
Greece
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Japan
Jordan
Kenya
Korea
Kuwait
Latvia
Lebanon
Lithuania
Macedonia
Malawi
Malaysia
Mauritius
Mexico
Montenegro
Mozambique
Namibia
Nepal
Netherlands
New Zealand
Norway
Oman
Pakistan
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Saudi Arabia
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Turkey
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Venezuela
Vietnam
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
 
Telephone #:
Fax #:
 
 
 
Home Information:
 
Street Address 1:
 
Street Address 2:
 
City:
State:
Zip/Postal Code:
 
Country:
-- Select One --
Argentina
Australia
Austria
Bahrain
Bangladesh
Belgium
Bolivia
Bosnia-Herzegowina
Botswana
Brazil
Brunei
Bulgaria
Canada
Chile
China
Colombia
Croatia
Cyprus
Czech Republic
Denmark
Ecuador
Egypt
Estonia
Ethiopia
Finland
France
Germany
Greece
Hong Kong
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Japan
Jordan
Kenya
Korea
Kuwait
Latvia
Lebanon
Lithuania
Macedonia
Malawi
Malaysia
Mauritius
Mexico
Montenegro
Mozambique
Namibia
Nepal
Netherlands
New Zealand
Norway
Oman
Pakistan
Panama
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Saudi Arabia
Serbia
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sweden
Switzerland
Syria
Taiwan
Tanzania
Thailand
Turkey
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Venezuela
Vietnam
Yugoslavia
Zaire
Zambia
Zimbabwe
Other
 
Telephone #:
Fax #:
 
 
 
We occasionally send mailings (certification certificates, course catalogs, etc.) through the postal service.
 
Where would you prefer these mailings to go?
Company Address
Home Address
 
 
 
Candidate Job Information:
 
Candidate Job Title:
 
Detailed Description of Job:
 
 
Years with Employer:
Years in current position:
 
Years in Business:
 
 
 
Information on Direct Supervisor:
 
Name:
 
Job Title:
 
Contact Telephone #:
 
E-Mail Address:
 
 
 
What type of business best describes your Company:
 
Avid Reseller
Rental Company
Post Production Facility
Freelance
Other
If Avid Reseller, select your Company Name:
-- Select One --
5280 Digital
ABC Video
Applied Video Technology
AV Resource
Avcom
AVI Systems
Burst Communications, Inc.
B&H Photo Video Pro Audio
C3 Interactive
Cambridge Electronics
Cambridge Electronics
Capitol Computers
Ceavco Audio-Visual Company, Inc.
CEV, Inc. (dba Cite Electronique)
CIS Group Corporation
Clark-Powell
Comprehensive Technical Group (CTG)
Crimson Tech
Crosspoint
CTM
Cutting Edge Audio Group
DEF Productions
Deltech Communications Equipment Inc.
Digital Resources
Digital Solutions
Duncan Video, Inc.
Dynamix Professional Video Systems
EAR Professional Audio/Video
EC Professional Video Inc.
eClips
EPS Associates
Globix Corporation
Great Northern Video
GW Hannaway & Associates
HB Communications, Inc.
Honcad Corporation
Imperatives, Inc.
Industrial Audio/Video
Industrial Video Corporation
Infinite Solutions
Journey Education Marketing
Kaleidoscope Animations
Key Code Media, Inc.
LatinMedia S.A.
Lortech International
Lubbock Audio Visual, Inc.
Marshall Graphics
Matrix Professional Video Sys. Inc.
Matrix Video Communications Corp.
MCSi (dba MCSi Digital)
Midwest Media Group, LLC
Mission Service Supply, Inc.
Modern Communications, Inc.
Moviola Digital
Networx, Inc.
Networx, Inc.
Professional Products, Inc.
Professional Video & Tape
ProMedia
Rebel.com
Reeves A/V Systems
RFX, Inc.
Roscor Corporation
Sicorp dba - Vizeon
Sistemas De Video Communication (SVC)
SLK Technologies
Snader & Associates, Inc.
Tekserve
Texas Media Systems
TM Television
Trinity 3D Animation
TV Magic
Univisions
Vidcom Communication Ltd
Video Broadcast
Video Central
Video Corporation of America (VCA) (dba VCA Fusion)
Videografica
Videotex Systems Inc.
Virtual Media Communications
Visual Technology, Inc. (VTI)
VMI Company of St. Louis
Washington Professional Systems (WPS)
Other
 
 
 
 
 
Which Avid Products does your Company currently own (Media Composer, ProTools, Avid DS, etc.) and please specify operating systems and platforms of each Avid Product:
 
 
 
 
Are you currently or have you ever been ACSR certified?
Yes
No
 
If Yes, what is your PIN number:
 
If Yes, which products were you certified on and what year?
 
Product:
Year:
 
Product:
Year:
 
Product:
Year:
 
 
 
List other certifications obtained for other products:
 
 
 
 
Select the Avid training courses you have attended and what year or Select None:
 
Course Name:
Year:
 
--Select Course--
102 - Film Editing on Avid Media Composer
305 - Advanced Avid Media Composer Effects
101-DS - Introduction to Avid
110 - Introduction to Avid Media Composer Effects
400 Mac - Avid System Suport for Macintosh
201-DS - Avid
320 - Finishing on Avid Media Composer and Avid Symphony Systems
400 Windows - Avid System Support for Windows
172 - Introduction to Avid NewsCutter
324 - Avid Symphony Finishing Effects and Color Correction
201 - Advanced Techniques for Avid Media Composer
402 - Unity MediaNet Installation and Administration
117 - Avid Xpress Editing
119 - Editing on the Avid Xpress DV system
400 DS - System Support of Avid
301-DS - Avid
310 - Creating Graphics and Mattes with Avid Media Composer and Adobe Photoshop
205 - Avid Media Composer Troubleshooting
101 - Avid Media Composer Editing
422 - Avid Unity ISIS System Support
None
 
--Select Course--
102 - Film Editing on Avid Media Composer
305 - Advanced Avid Media Composer Effects
101-DS - Introduction to Avid
110 - Introduction to Avid Media Composer Effects
400 Mac - Avid System Suport for Macintosh
201-DS - Avid
320 - Finishing on Avid Media Composer and Avid Symphony Systems
400 Windows - Avid System Support for Windows
172 - Introduction to Avid NewsCutter
324 - Avid Symphony Finishing Effects and Color Correction
201 - Advanced Techniques for Avid Media Composer
402 - Unity MediaNet Installation and Administration
117 - Avid Xpress Editing
119 - Editing on the Avid Xpress DV system
400 DS - System Support of Avid
301-DS - Avid
310 - Creating Graphics and Mattes with Avid Media Composer and Adobe Photoshop
205 - Avid Media Composer Troubleshooting
101 - Avid Media Composer Editing
422 - Avid Unity ISIS System Support
None
 
--Select Course--
102 - Film Editing on Avid Media Composer
305 - Advanced Avid Media Composer Effects
101-DS - Introduction to Avid
110 - Introduction to Avid Media Composer Effects
400 Mac - Avid System Suport for Macintosh
201-DS - Avid
320 - Finishing on Avid Media Composer and Avid Symphony Systems
400 Windows - Avid System Support for Windows
172 - Introduction to Avid NewsCutter
324 - Avid Symphony Finishing Effects and Color Correction
201 - Advanced Techniques for Avid Media Composer
402 - Unity MediaNet Installation and Administration
117 - Avid Xpress Editing
119 - Editing on the Avid Xpress DV system
400 DS - System Support of Avid
301-DS - Avid
310 - Creating Graphics and Mattes with Avid Media Composer and Adobe Photoshop
205 - Avid Media Composer Troubleshooting
101 - Avid Media Composer Editing
422 - Avid Unity ISIS System Support
None
 
--Select Course--
102 - Film Editing on Avid Media Composer
305 - Advanced Avid Media Composer Effects
101-DS - Introduction to Avid
110 - Introduction to Avid Media Composer Effects
400 Mac - Avid System Suport for Macintosh
201-DS - Avid
320 - Finishing on Avid Media Composer and Avid Symphony Systems
400 Windows - Avid System Support for Windows
172 - Introduction to Avid NewsCutter
324 - Avid Symphony Finishing Effects and Color Correction
201 - Advanced Techniques for Avid Media Composer
402 - Unity MediaNet Installation and Administration
117 - Avid Xpress Editing
119 - Editing on the Avid Xpress DV system
400 DS - System Support of Avid
301-DS - Avid
310 - Creating Graphics and Mattes with Avid Media Composer and Adobe Photoshop
205 - Avid Media Composer Troubleshooting
101 - Avid Media Composer Editing
422 - Avid Unity ISIS System Support
None
 
--Select Course--
102 - Film Editing on Avid Media Composer
305 - Advanced Avid Media Composer Effects
101-DS - Introduction to Avid
110 - Introduction to Avid Media Composer Effects
400 Mac - Avid System Suport for Macintosh
201-DS - Avid
320 - Finishing on Avid Media Composer and Avid Symphony Systems
400 Windows - Avid System Support for Windows
172 - Introduction to Avid NewsCutter
324 - Avid Symphony Finishing Effects and Color Correction
201 - Advanced Techniques for Avid Media Composer
402 - Unity MediaNet Installation and Administration
117 - Avid Xpress Editing
119 - Editing on the Avid Xpress DV system
400 DS - System Support of Avid
301-DS - Avid
310 - Creating Graphics and Mattes with Avid Media Composer and Adobe Photoshop
205 - Avid Media Composer Troubleshooting
101 - Avid Media Composer Editing
422 - Avid Unity ISIS System Support
None
 
 
 
Which Avid Products do you work with on a daily basis and what is your proficiency on these products:
 
 
 
 
** Rate the following on a scale from 1 to 10 (10 being the highest) **
 
Rate your troubleshooting with the following Avid Products:
 
Symphony, Media Composer, Xpress (Windows NT)
1
2
3
4
5
6
7
8
9
10
 
Media Composer, Xpress (Mac)
1
2
3
4
5
6
7
8
9
10
 
Unity MediaNet
1
2
3
4
5
6
7
8
9
10
 
Avid DS, Softimage DS
1
2
3
4
5
6
7
8
9
10
 
ProTools
1
2
3
4
5
6
7
8
9
10
 
NewsCutter
1
2
3
4
5
6
7
8
9
10
 
Xpress DV (Windows NT)
1
2
3
4
5
6
7
8
9
10
 
 
 
Rate your proficiency with the following operating systems:
 
Macintosh OS (versions 7.5 - 9.1)
1
2
3
4
5
6
7
8
9
10
 
Macintosh OS 10 (X)
1
2
3
4
5
6
7
8
9
10
 
Windows NT 4.0 Workstation
1
2
3
4
5
6
7
8
9
10
 
Windows NT 4.0 Server
1
2
3
4
5
6
7
8
9
10
 
Windows NT 2000 Professional
1
2
3
4
5
6
7
8
9
10
 
 
 
List other multimedia applications and utilities that coincide with Avid Products and rate your proficiency with those products:
 
1
2
3
4
5
6
7
8
9
10
 
1
2
3
4
5
6
7
8
9
10
 
1
2
3
4
5
6
7
8
9
10
 
 
 
Rate your proficiency working with hardware:
(example: reseating boards, installing ram, wiring systems, etc)
 
1
2
3
4
5
6
7
8
9
10
 
1
2
3
4
5
6
7
8
9
10
 
1
2
3
4
5
6
7
8
9
10
 
1
2
3
4
5
6
7
8
9
10
 
1
2
3
4
5
6
7
8
9
10
 
 
 
Please explain why you are applying to become an Avid Certified Support Representative (ACSR):
 
 
 
European Applicants
: Please note that the information you submit through the online application form will be transferred outside of the European Economic Area for purposes of processing the application by Avid Technology, Inc., a company located in Tewksbury, Massachusetts, U.S.A., or its subsidiaries or affiliates located worldwide. By submitting the online application form, you will be consenting to that transfer.