THEATRE ARTS PUBLICITY QUESTIONNAIRE

NAME:     DATE: 
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PRODUCTION: 
Title of the play or musical in which you are cast.

ROLE: 
Name of the character you play or the title given to your part by the playwright, i.e. “Chorus, Narrator, etc.”

AGE:  or apparent age     Freshman   Sophomore

ACADEMIC MAJOR: 

ADDRESS:
Number and Street
 
City

State


Postal zip code

TELEPHONE NUMBER: 
CELLULAR TELEPHONE NUMBER:  
EMAIL ADDRESS: 

DO YOU HAVE FULL/PART TIME JOB(S)?    

GRADE POINT AVERAGE: 

Local media require that we supply them with your city of residence and high school attended.

NAME OF HIGH SCHOOL:   
List city and state if not a local school

HIGH SCHOOL AND COLLEGE HONORS AND CREDITS

Honor or award title, Year of award, School

OTHER PERFORMANCE, DESIGN, OR TECHNICAL CREDITS

Production Title, Year, Production Company, Role or Position

FUTURE PLANS

SCHOOLS OR TRAINING COMPANIES TO WHICH YOU MIGHT  TRANSFER

CAREER GOALS Acting, film, Technical Theatre, Design, etc.

HOBBIES & INTERESTS