APPLICATION FORM:

As part of MISHKAL13 (17-21 September 2013) Al Madina Theatre Association For Arts & Culture organizes in partnership with BEIRUT MUNICIPALITY & AFPA - AGONISTIK for performing arts a LIGHTING DESIGN workshop conducted by Mohamad Farhat curator: Mona Knio

September 6 & 7 - 7:30 pm. 10:30 pm 2 sessions of 3 hours each

Applications should be sent to agonistik.theatre@gmail.com and ccd to artistic.director@almadinatheatre.org with an attached photo.
Deadline for the submission of applications: Monday, September 2nd, 2013 at 7:30pm.

PERSONAL INFORMATION
NAME Date (dd/mm/yyyy) & place of birth ADDRESS (city/street/bldg./floor) Sex Female

CONTACT INFORMATION
PHONE NUMBERS (mobile/home/work) EMAIL

FACEBOOK/TWITTER/INSTAGRAM

CURRENT OR COMPLETED STUDIES

SCHOOL - UNIVERSITY FROM / TO DEGREE / DIPLOMA

PREVIOUS THEATRE EXPERIENCE (not a requirement).

ROLE - ASSIGNEMENT DIRECTOR WHEN WHERE

PREVIOUS WORKSHOPS (not a requirement)

WORKSHOP ORGANIZER - DIRECTOR WHEN WHERE

ADDITIONAL INFORMATION
Do you play any musical instrument? (if yes specify) Do you practice any martial art? (if yes specify) What are your expectations for this workshop?

I am applying to this workshop out of free will and interest. I accept and consent any physical activities and guarantee my full participation in all activities of the workshop. I am perfectly aware of the date and time of all the workshop sessions and guarantee my presence before time so that we can start on time and will stay until the end time specified during the workshop session(s) I have chosen to attend. Date: Signature: __________________________