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Penguin Project MENTOR Application 2022
THANK YOU for your interest in being a mentor for CUTC's Penguin Project! APPLICATION DEADLINE IS MAY 1. (Let us know if you require an extension.) Decisions will be emailed by May 10. Please be prepared to list all of your potential conflicts from June 1-Sept. 18. We understand that everyone will have some conflicts and will do our best to be flexible. Thanks!
Mentor Name
*
First Name
Last Name
Parent/Guardian (primary)
*
First Name
Last Name
Parent/Guardian (secondary)
First Name
Last Name
Date of BIrth
*
-
Month
-
Day
Year
Date
Age
*
Mentor age range is 12-21.
Primary Parent Email Address
*
example@example.com
Secondary Parent Email Address
example@example.com
Mentor Email Address (if different)
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best phone
*
-
Area Code
Phone Number
Can this number receive texts?
*
Mentor phone (if different)
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Area Code
Phone Number
Can this number receive texts?
Gender Pronoun
*
She
He
They
Regarding race/ethnicity, how do you self-identify?
*
Grade in Fall 2022
*
School in Fall 2022
*
How did you hear about the Penguin Project?
Potential NEW mentors and a guardian are required to attend an informational meeting to meet the staff and get acquainted with the Penguin Project. Which date(s) can you attend? The meeting is at Sinai Temple, 3104 Windsor Rd., Champaign.
Sunday, May 1 at 6pm
Wednesday, May 4 at 6pm
I am a returning mentor.
Mentors: Please tell us a little bit about your interests and strengths, including any previous performing arts experience (singing, dancing, acting).
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Why do you want to be a Penguin Project mentor?
*
For returning mentors: if there is a particular artist you hope to partner with, please let us know, and we will take this into consideration.
What other activities are you involved in during the summer/early fall?
*
Marching Band
Choir
Sports
Other theatre productions
Travel
Work
Camp
If you have been cast in (or plan to audition for) any summer theatre productions, please list below:
Please list any dates you expect to be OUT OF TOWN from June 1-Sept 18. (Note: We will cancel July 3 but may need to rehearse Labor Day weekend, Sept. 4-5.)
*
Please list any anticipated conflicts with Sunday evening rehearsals in the 5:00-8:00 pm window, June 4-Sept. 11 (Note: Rehearsal will be no more than 2 hours.):
*
Please list any anticipated conflicts with Wednesday rehearsals during the 4:00-8:00 pm window, June 1-Sept. 14. (Note: Rehearsal will be no more than 2 hours. Specific time slot may change when school begins. For example, we may meet from 4:15-6:15pm in the summer and 6:15-8:00pm when school begins.).
*
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Though the dates for September performances and tech week rehearsals are not yet finalized, I understand that these dates will be mandatory. (Either Sept. 4-11 or Sept. 11-18.)
*
yes, I can commit to those September dates (evenings and weekends)
Please check relevant box below regarding Covid vaccination:
*
I am fully vaccinated.
I am not fully vaccinated and agree to provide weekly negative Covid tests.
Please check relevant box below regarding masking:
As of now, I prefer to wear a mask in groups indoors.
As of now, I am comfortable unmasking in groups indoors.
Membership: CUTC is a membership organization, and we request those who participate in our productions become company members. Memberships follow a calendar year, January 1-December 31. The annual cost is $35 per member ($60 per family). This membership fee is due by the end of the first week of rehearsal. However, if this would be a financial hardship for you or your family scholarships are available, and we don’t want this to hinder you from participating.
*
If selected, I understand I will need to pay a $35 membership fee.
If selected, I would like to request a scholarship.
Any concerns, comments or questions for our staff? You may also email imagine@cutheatreco.org.
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