* 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? Why does partnering interest you? (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 on attending (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 three hours of the workshop. I promise to be on time, to attend the workshop in its entirety, and to be an active participant during these three hours: Friday, March 22 from 3:00pm-6:00pm

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