You are on page 1of 2

2013 WORKSHOP WEEKENDS

APPLICATION FORM

Passport-sized
picture
here

(Please check appropriate box; write legibly)

Theater Arts 1 Creative Musical Theater Basic Acting


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 ______________________________________________________________________________________
_____________________________________________________________________________________________
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 ____________________________________________________________________
____________________________________________________________________________________________
AFFILIATIONS (whether school, community, civic, etc.)
Name of Organization

Position Held

Duration of Stay

_______________________________________

______________________________

___________________

_______________________________________

______________________________

___________________

_______________________________________

______________________________

___________________

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


_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
REFERENCES (excluding relatives)
Name
_____________________________

Address
_______________________________________

Contact Number
____________________

_____________________________

_______________________________________

____________________

IF YOU HAVE ANY AILMENTS PLEASE SPECIFY ___________________________________________________


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

QUESTIONNAIRE

1. What is your idea about theater? _______________________________________________________________


__________________________________________________________________________________________
__________________________________________________________________________________________
2. Why are you joining the workshop? _____________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
3. What do you expect from the workshop? _________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
4. What can you share in the workshop? ___________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
5. What are your limitations (things that could affect your class participation)? ______________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
6. How did you learn about the workshop? __________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________________

___________________________

Signature Over Printed Name of Applicant

Date

INTERVIEWERS REMARKS: __________________________________________________________________


____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
2013 Workshop Weekends

INTERVIEWERS SIGNATURE OVER PRINTED NAME

DATE

You might also like