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* 1. Full Legal Name

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* 2. Preferred Greeting Name

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* 3. Pronouns

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* 4. Address and Contact:

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* 5. Date of Birth:

Date

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* 6. I have experience in (select any that apply):

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* 7. I have an interest in (select any that apply):

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* 8. Please briefly summarize any theatrical or artistic experience and/or training (approx. 250 words):

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* 9. Before this summer I was:

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* 10. Name of College or University you will attend in the Fall (if applicable):

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* 11. Program of Study (if applicable):

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* 12. Approximate Start Date at this Institution (if applicable):

Date

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* 13. Approximate Graduation Date at this Institution (if applicable):

Date

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* 14. I identify as (select all that apply):

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* 15. Is there anything else you'd like to tell us?

T