Applicant Name __________________                     SSN: ___________________

 

Mailing Address ____________________________________________________

 

Home Phone _______________________                 HS Graduation Date _______

 

Parents/Guardians Name _____________________________________________

 

Performing Arts goals:  Please explain how you intend to continue your involvement in the performing arts, Lessons? Individually? Hobby? Community Group?

 

 

 

 

Performing Arts Experience:  Please List the Following:

• Classes you have taken (include teachers name and length of study

 

 

• Performances in which you have participated (include parts & duties)

 

 

• Other performing arts experiences

 

 

What area of Performing Arts is your main interest?

 

 

 

 

 

Education Plan – Please indicate the school/program you plan to attend

 

 

 

 

 

 

Page 1 of 3