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Prospective Student

PERSONAL INFORMATION
First Name:
 Last Name:
 
Street Address:
 
City:
 State:
 Zip:
Home Phone:
 Cell Phone:
 Email Address:
Student Type:
 Birthdate:
  
SCHOOL INFORMATION
Theatre Director:
 Theatre Director Phone:
 Theatre Director Email:
School:

 School City:

 School State:
ACADEMICS
Cumulative GPA:
 ACT/SAT Score:
Date Taken:
Graduation Date:

Class Rank:

 Number in Class:
Anticipated Major or Academic Interests:
Counselor:
 Counselor Office Phone:
  
THEATRE
Active in One-Act Plays Acting:
Freshman
Sophomore
Junior
Senior		 Technical:
Freshman
Sophomore
Junior
Senior
Active in School Plays
or Musicals		 Acting:
Freshman
Sophomore
Junior
Senior		 Technical:
Freshman
Sophomore
Junior
Senior
Active in Oral Interpretation Freshman
Sophomore
Junior
Senior		 Categories:
Leading or Major Supporting Roles Played Character Name:
 Production Name:
Character Name:
 Production Name:
Singing Background Do You Sing?
 Length of Time Studying and Performing Music
Theatre or Speech Awards or Honors:

Technical Theatre Experience
Check All That Apply

 Assistant Director
Stage Managing
Set Construction
Set Design
Costume Design
Props		 Lighting
Sound
Publicity
Hair/Makeup
Box Office/Tickets
ADMISSIONS
Have you applied for admission to Mount Marty College?
Have you filed for Federal Financial Aid (FAFSA)?
What other schools are you considering?
Do you wish to audition for a theatre scholarship?
CONFIRM AND SUBMIT