Theatre Artist Intake Form

Theatre Artist Intake Form

This information will be used so we can get to know you better. By asking detailed questions we hope to save everyone time by minimizing the need to repeat these questions in the future. Only administrative staff of Amphibian Stage will have access to this information. Your responses will be kept private and secure. The information will not be used for discriminatory purposes. You can change this information in the future by reaching out to us via info@amphibianstage.com
Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Please enter a valid phone number.
I'm based: *

In the DFW Metroplex Outside of the DFW Metroplex
Where are you located?
I have reliable housing and transportation in DFW *

Yes No
I'm a/an (check all that apply) *

Actor Director Playwright Stage Manager Assistant Stage Manager Run Crew/PA/Technical Overhire Scenic Designer Costume Designer Lighting Designer Sound Designer Projection Designer Fight Choreographer Intimacy Choreographer Choreographer Music Director Voice/Dialect Coach Other
Do you belong to a union? *

AEA Member AEA Equity Membership Candidate SDC USA I do not belong to any unions Other
I identify as (check all that apply)

Aboriginal Person (e.g., North American Indian, Metis, or Inuit) African-American/Black (not of Hispanic origin) Alaskan Native Arab Asian (Chinese, Japanese, Korean, Filipino) Caribbean (West Indian) Caucasian/White (not of Hispanic origin) Hawaiian Hispanic/Latin(a/o)/Latine Multi-Ethnic Pacific Islander Samoan South Asian (e.g., East Indian, Pakistani, Sri Lankan, etc.) Southeast Asian (e.g., Vietnamese, Cambodian, Malaysian, Laotian, etc.) West Asian (e.g., Iranian, Afghan, etc.) Prefer not to say Other
Do you identify as transgender?

Yes No Prefer not to say
I identify as

Male Female Non-Binary Agender Genderfluid or Genderqueer Prefer not to say Other
My age is

0-18 18-30 30-45 45-60 60-75 75+
My pronouns are
Headshot

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Non-actors, we would still love a photo of you-it doesn't need to be a professional headshot.
Cancel of
Resume

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Cancel of
Website, Online Portfolio, or Reel
I'd like to be considered as a teaching artist for daytime community outreach workshops (paid position). *

Yes No
In what areas of teaching are you proficient?
I'd like to receive emails about audition and employment opportunities. *

Yes No
Is there anything else you want us to know?
Should be Empty: