Name: ______________________________________________________________________________

Mailing Address: ______________________________________________________________________

_______________________________________________________ Postal Code: _________________

Telephone: 1) ________________________________ 2) _____________________________________

Email address: ________________________________________________

Club Affiliation:  ________________________________________________

Theatre BC Club Card Membership Number (yours or a parent's):                                                   

What is the name and location of the school(s) and course of study to which you are applying?

____________________________________________________________________________________

____________________________________________________________________________________

If under 19 years of age, please list full name(s) and address (es) of your parent, guardian or sponsor:

___________________________________________________________________________________

___________________________________________________________________________________

Please Attach:

1. TWO Letters of Reference from people who are familiar with your interest and experience in theatre.
2. A letter stating your reasons for pursuing further theatre training.
3. A statement of theatre experience or theatre resume with specific reference to previous community theatre involvement.

DEADLINE For Receipt of Applications: April 30^th

I hereby declare that the above information is to the best of my knowledge correct and complete.

___________________________________________________ Date: ___________________________
Signature of Applicant

Please List Attachments: