* 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)

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