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Is It For Me?
The Positive Mentor
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+Actor Application Form
First name
*
Last name
*
Preferred pronouns
Email
*
Phone
*
Birthday
*
Day
Month
Month
Year
Current Year Level
*
Parent/Guardian name
*
Parent/Guardian phone
*
Parent/Guardian email
*
Which program are you interested in?
*
What are your expectations/goals that you hope to acheive in this program?
*
Actors Tune Up
Vocal Warm Up Routine
Actors process
Resilience
Self-improvement
Clarity
Direction
Focus
Motivation
Confidence
Empowerment
Networking with other actors
Other
What are your specific areas of interest or strengths you would like to focus on?
The Actors Process
Spatial Awareness
Voice
Movement
The Expressive Skills
Character Transformation
Theatrical Conventions
The Performance Skills
The Dramatic Elements
Confidence
Scripting
Motivation
Anxiety and Stress management
Well-being management
Other
Have you participated in any actors programs or skill development programs before? If so, please provide details.
Do you have any specific challenges or areas where you would like additional support?
Do you have any concerns with dates/times
Yes
No
Would you be interested in ongoing mentoring and coaching?
Yes
No
Do you grant permission for The Positive Mentor who is hosting this short course, to use any images used for promotions and marketing?
*
Yes
No
Upload a recent headshot of yourself (with parental/guardian approval for those under 18 years)
*
Upload File
Signature (Parent/Guardian must sign for applicants under the age of 18)
*
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Print Name of signed
*
Is there any additional information or special accommodations that you would like us to be aware of?
Submit
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