CD Success: Marketing Info

CD Success & Opportunity Form: Marketing Info

Congratulations on your recent or upcoming success! Please fill out the following form so that we can share your achievement in our bi-weekly newsletter!
Name*

First NameMiddle NameLast Name
Stage/Pen Name (If Different)

First NameMiddle NameLast Name
She/HerHe/HimThey/ThemPrefer Not to SayOther
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Instagram
Twitter
Facebook
Event / Success Title:*
Network MemberResident PlaywrightTeaching ArtistStudentScholarship RecipientArtistic AssociateOther
Event / Success Website Link:
Event / Success Description:*

0/50
Bio (3-5 Sentences)*

0/75
Headshot (jpg or png)

Cancelof
Event Graphic / Poster (jpg or png)

Cancelof
By signing below I am confirming that I understand and agree to the following:
1. It is my responsibility during the event to uphold Chicago Dramatists' Statement of Values which can be found at chicagodramatists.org/statement-of-values. Failure to do so will result in my removal from the program.
2. I confirm that I have reviewed this form in full, and all information provided is accurate to the best of my knowledge.
Signature (to sign: click and drag)*
Questions & Concerns
All questions and concerns can be sent to CD Producing & Managing Director, Atlie Gilbert, at agilbert@chicagodramatists.org
Should be Empty:

CD Success & Opportunity Form: Marketing Info