Name __________________________________________________________________
Permanent Mailing Address _________________________________________________
City________________________________State_______Zip______________________
Phone (_____)_____________________ Cell Phone (____)_______________________
Address while attending school ______________________________________________
City_________________________________State_______Zip_____________________
Email____________________________ Your Phone # at school (_____)_____________
Birthdate_______________ Age______ Sex___ Ethnicity (required!) ________________
Name of College/University_________________________________________________
Major/Area of study _________________________ Degree Sought_________________
Level to be completed by May 2007: Sophomore___ Junior___ Senior___ Graduate____
Other -Explain_____________________________________________________
G.P.A.________ Theatre G.P.A.________ Hours Completed _____ Hours taking _____
Recommended by_____________________________________ Title _______________
Address________________________________________________________________
City________________________________State_______Zip______________________
Office number (_____)_________________ Home number (_____) ________________
Email ______________________________Fax # ______________________________
Internship Dates: Orientation: May 19th; 1st Theatre: May 20-June 24; Travel Day: June 25; 2nd Theatre: June 26-July 31; Wrapup: Aug 1
Attachments: (Due postmarked by January 23, 2008)
- A letter of recommendation
- Resumé including work experience, roles played, honors, awards, etc.
- College Transcript (official copy)