FACT Intern Application Form
Applicant Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Age
*
School Grade?
*
Please Select
9th
10th
11th
12th
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email
*
example@example.com
Please tell us about your theatre training and experience:
Please indicate what you hope to get out of this experience or what you feel you can contribute to the program:
Will you be available for all FACT workshop and camp sessions? (July 6, 8, 13, 15, 20, and 22 at BRCC, 1:30 - 3:30? AND July 20-24 and July 27-30 at FMS, 3:00 - 6:00? AND July 31, 1:00 - 9:00 pm? AND August 1, 5:00 - 9:00 pm?
Yes
No
Maybe
List any scheduling conflicts you may have.
T-Shirt Size
*
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