Contact Information Name Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Email Home Telephone Cell Family Information Parent/Guardian Occupation Business Phone Alma Mater Parent/Guardian Occupation Business Phone Alma Mater Doane Alumni/students whom you know Siblings Academic Information High School/College Graduation Date Grade Point Average Class Rank/No. in Class Your Class Rank/The number of people in your class ACT/SAT Score Intended College Major/Academic Interests Theatre Information High School/College Director's Name Office Telephone Director's E-mail Please list shows in which you were involved (acting, sound, lighting, costume, etc.) Please list courses taken in theatre, music, and speech/forensics Course Title Year Taken Final Grade Course Title Year Taken Final Grade Course Title Year Taken Final Grade Theatre honors and awards received Please indicate your areas of interest (check all that apply) Acting Costuming Scenery Lighting and Sound Film Anticipated College Major Other colleges you are seriously considering Please list other extracurricular activities you hope to participate in at Doane College Such as athletics, band, choir, speech/forensics, etc. Scholarship Audition/Interview InformationApplicants who indicate acting as an area of interest need to audition on campus with our theatre faculty. Please be prepared to present a one minute monologue. While not required, we strongly encourage you to memorize your monologue. Those interested in technical theatre should arrange an interview. All applicants are encouraged to bring a letter of reference, photos, and/or a portfolio of their work. Select date and time preference for your Theatre audition. Upon receipt of this form, you will receive a confirmation email with the scheduled time of your audition. Additional audition times can be arranged on an individual basis. Please contact the Office of Admission with any questions by calling 402.826.6767 or toll-free 800.333.6263. Possible Dates Tuesday, February 5, 2013 Monday, February 11, 2013 Tuesday, February 19, 2013 Thursday, February 21, 2013 Friday, February 22, 2013 Saturday, February 23, 2013 Preferred audition time AM PM Additional audition and interview dates in December and January are available on an individual basis. Please contact the Office of Admission to schedule a time at 402.826.6767 or toll-free 800.333.6263. By submitting this form, you accept the Mollom privacy policy.
