2013 PETA SUMMER THEATER ARTS WORKSHOP

APPLICATION FORM
(Please check appropriate box; write legibly)

Childrens Theater 1-A

Childrens Theater 1-B
Childrens Theater 2-A
Childrens Theater 2-B
Teen Theater 1-A
Theater-In-Education 1

Theater Arts 1-A

Theater Arts 1-B
Creative Musical Theater
Basic Acting for Theater
Teen Theater 1-B

Passport-sized
picture
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Registration Form No. _____ PR/OR# _____ Amount Paid __________ Date
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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
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Birthday ______________________________________________________ Age _____Gender:
Male Female
Nationality ____________________ Religion ________________________________ Civil Status
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Occupation _____________________________________ Employer
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Highest Educational Attainment ___________________________School
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Languages/Dialects Spoken
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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
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PERSON TO NOTIFY IN CASE OF EMERGENCY (Name, Relationship, Address,
Contact Number)
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FETCHER (Name and Contact Number)
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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?
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Signature Over Printed Name of Applicant

Date
INTERVIEWERS REMARKS:
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