Young Actors Residency Application

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

Applicant Information

First Name

Middle Initial

Last Name

Home Address

State

Zip

Phone

Age as of 6/1/2020

Grade as of Fall 2020

Freshman

Sophomore

Junior

Senior

Guardian Information (Will be listed as Primary Emergency Contact)

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email

Emergency Contact Relationship

Secondary Guardian Information (Please list an additional emergency contact other than the parent/guardian listed above)

Emergency Contact Name

Emergency Contact Phone

Emergency Contact Email

Emergency Contact Relationship

About You: Below (In 500 words or less) Please write an essay to help us know you better. In the first paragraph, summarize your involvement in the theatre. In the second paragraph, describe your career goals and note those goals do not necessarily have to directly involve theatre. In the final paragraph, tell us what you hope to accomplish and what excites you about the opportunity to attend the workshop.

About You

About You Upload

Files must be less than 2 MB.
Allowed file types: pdf doc docx.

Please List one reference:

Reference Name

Reference Title/Role

Reference Phone

Reference Email

E-Signatures

Applicant

Date

Guardian

Date

Application Deadline: Submitted by May 1, 2020. Applicants will be reviewed on a rolling basis. Please allow 3 weeks for notification.

Interested candidates submit inquiries and questions to Executive Director, Quiana Clark-Roland at [email protected].

Leave this field blank

Search form

Young Actors Residency Application

You are here