Residency Registration
Complete the form in its entirety so that we may create the best residency experience for you!
Your Name:
First Name
Last Name
E-mail Address:
example@example.com
Phone Number:
Format: (000) 000-0000.
Type a question
School/Organization Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If applicable, What subject area do you teach?
Math
Social Studies
ELA
Science
Special Area
Drama/Musical Production
Other
What type of room will the residency take plae in?
Classroom
Multi-purpose space
Gymnasium
Atrium
Community Room
Other
If applicable, are you currently working on any course content with your students that you feel is relatable to the show material?
If applicable, what grade or grades are your students currently in? If this a community group, please explain who we will be working with.
How many will participate in the residency?
What day(s) of the week work best for us to visit?
Monday
Tuesday
Wednesday
Thursday
Friday
What time(s) work best for us to visit?
Briefly describe your understanding of what a residency is and what you hope to gain from the experience:
Is there anything else you would like us to know?
Please upload a PNG version of your school logo to be used on our social media pages
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