* 1. Name

2. Major (list minor if applicable)

* 3. Current Year

* 4. Email Address

* 5. Phone Number

* 6. Why do you want to work with Pilobolus? (200 words or less)

* 7. What do you hope to do after graduation? Will working with Pilobolus influence or further any of your career or professional goals? Please explain. (200 words or less)

8. Please describe any previous experience with dance or movement. Please note that no previous experience is required. (200 words or less)

9. Do you plan to attend (or did you attend) the Pilobolus performance at UVa on Wednesday, March 6th?

10. By checking yes, I understand that if I am selected to participate in this program, I am committed to the full two days of the workshop (Saturday 3/23 from 10:00am-1:00pm and 2:00pm-6:00pm, and Sunday 3/24 from 10:00am-1:00pm and 2:00pm-6:00pm). I promise to be on time, to attend the workshop in its entirety, and to be an active participant during these two days. I also acknowledge that I am required to partake in a performance in conjunction with the Festival of the Moving Creature on Saturday, April 20th (Please keep in mind there might be one or two rehearsals before the performance)