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2014 WORKSHOP WEEKENDS

APPLICATION FORM
(Please check appropriate box; write legibly)

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Theater Arts 1
Creative Musical Theater 1
Creative Musical Theater 2 Basic Acting

Passport-sized
picture
here

Registration Form No. _____ PR/OR# _____ Amount Paid __________ Date ___________
ID done on __________ by _______________ Issued on __________ by ______________

I.

PERSONAL INFORMATION

Name: _______________________________________________________________________ Nickname _______

FIRST NAME/S

MIDDLE INITIAL

SURNAME

Address ______________________________________________________________________________________
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Landline _____________________ Mobile ______________________ Email ______________________________
Birthday ______________________________________________________ Age _____Gender: Male Female
Nationality ____________________ Religion ________________________________ Civil Status _______________
Occupation _____________________________________ Employer ______________________________________
Highest Educational Attainment ___________________________School __________________________________
Languages/Dialects Spoken ______________________________________________________________________
Special Skills/Talents/interests ____________________________________________________________________
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AFFILIATIONS (whether school, community, civic, etc.)
Name of Organization

Position Held

Duration of Stay

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EXPERIENCE IN THEATER PRODUCTIONS & TRAININGS (whether school or otherwise)

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REFERENCES (excluding relatives)
Name

Address

Contact Number

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IF YOU HAVE ANY AILMENTS PLEASE SPECIFY ___________________________________________________

PERSON TO NOTIFY IN CASE OF EMERGENCY (Name, Relationship, Address, Contact Number)
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FETCHER (Name and Contact Number) ____________________________________________________________
II.

QUESTIONNAIRE

1. What is your idea about theater? _______________________________________________________________

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2. Why are you joining the workshop? _____________________________________________________________
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3. What do you expect from the workshop? _________________________________________________________
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4. What can you share in the workshop? ___________________________________________________________
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5. What are your limitations (things that could affect your class participation)? ______________________________
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6. How did you learn about the workshop? (Friend, Facebook, Twitter, Relatives, TV, Radio, etc.)
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Signature Over Printed Name of Applicant

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Date

INTERVIEWERS REMARKS: __________________________________________________________________

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