THEATRE ARTS PUBLICITY QUESTIONNAIRE
NAME: DATE: By clicking on the submit button below, I thereby consent to the release of the following information for use by the media or for any other publicity purpose.
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:
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