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

YesNo
I'm a/an (check all that apply)*

ActorDirectorPlaywrightStage ManagerAssistant Stage ManagerRun Crew/PA/Technical OverhireScenic DesignerCostume DesignerLighting DesignerSound DesignerProjection DesignerFight ChoreographerIntimacy ChoreographerChoreographerMusic DirectorVoice/Dialect CoachOther
Do you belong to a union?*

AEA MemberAEA Equity Membership CandidateSDCUSAI do not belong to any unionsOther
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 NativeArabAsian (Chinese, Japanese, Korean, Filipino)Caribbean (West Indian)Caucasian/White (not of Hispanic origin)HawaiianHispanic/Latin(a/o)/LatineMulti-EthnicPacific IslanderSamoanSouth 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 sayOther
Do you identify as transgender?

YesNoPrefer not to say
I identify as

MaleFemaleNon-BinaryAgenderGenderfluid or GenderqueerPrefer not to sayOther
My age is

0-1818-3030-4545-6060-7575+
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.
Cancelof
Resume

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

YesNo
In what areas of teaching are you proficient?
I'd like to receive emails about audition and employment opportunities.*

YesNo
Is there anything else you want us to know?
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