Preferred date and time for an audition/interview First Name Last Name Address Address City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Email Current School Current Drama/Speech Coach(es) Name and relationship of reference letter writer In case of emergency contact Emergency Contact Phone Relationship to the Emergency Contact I will be Performing monologues Bringing a technical/design portfolio Both Audition piece information Intended major(s) Intended minor(s) Current GPA Class rank ACT Score Have you applied to Simpson? Yes No Have you been accepted to Simpson College? Yes No Previous activities in performing arts (please be specific) Please check each area listed below in which you have skill or experience Computers Graphic Layout Plastics fabrication Bookkeeping Video Production Pattern-making Welding Other secretarial Drawing or other art Sewing Publicity Do you have other relevant skill other than those listed above? Enter other… Do you play an instrument? Yes No If so what instrument? Would you be interested in a work-study position in the theatre department? Yes No What area(s) would you prefer to work [no previous experience necessary] Sets Props Lighting Costumes Sound Audience Services Publicity Explain your interest in theatre and describe the contribution you think you will make to Theatre Simpson next year. Link(s) to your portfolio or videos Link(s) to your portfolio or videos Link(s) to your portfolio or videos Item weight AddRemove Add Add more items more items Acknowledgment I understand that in accepting an award I agree to support actively and regularly departmental programs that I am expected to be involved (in whatever way is most appropriate) in departmental production and that I am to maintain a GPA above 2.5 in departmental classes and a general GPA above 2.0 Signature Date CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank
