Stagemobile Summer 2008 Application

Application Process Includes:

1) Completed form below, submitted on line.

2) Individual audition/interview with Mrs. Gleeson, including a memorized monologue of 2-3 minutes length, and a vocal selection. You may call the office or email to schedule your appointment.

3) Essay of 500 words or less, describing what experiences have prepared you for Stagemobile this summer, what you expect to get out of participating, and what you expect to contribute to the program.

Once accepted into the TEEN STAGEMOBILE TOUR COMPANY, a non-refundable deposit of $100 is required.

CONTACT INFORMATION
Applicant's Full Name:
Address:
City:
State:
Zip Code:
Telephone:
Grade in school prior to this summer:
Age as of June 1, 2008:
Gender:		Male Female
Parent Full Name:
Work Phone:
Cell Phone:
Email Address:
AVAILABLE SESSIONS
Please Choose Desired Session(s):
Module AB ($900):		June 23 - August 15 (8 weeks)
Module A Only ($650):		June 23 - July 25 (5 weeks)
Module B Only ($650):		July 14 - August 15 (5 weeks)
Scholarship Requested?:		Yes I need a scholarship. Please send me a financial aid form. NOTE: A minimum $100 nonrefundable deposit is due with application. Balance to be paid in full no later than 2 weeks prior to start of session.
REFERENCES
Name of a Reference:
Phone Number to Reach Them:
Relationship to Applicant: