| Name_______________________________________________________________
Mailing Address_________________________________________________________ City____________________________ State/Prov. ________ ZIP______________ Country_________________________________ |
| Home phone (____) ____________ |
Message or Work phone (_____) _____________ |
| fax (_____) __________________ |
e-mail_________________________________ |
| Social Security #_____ ___ _______ | Date of Birth _____/____ /______ |
| Present Occupation, if any ________________________________________________________________ | |
| High Schools, Colleges, Universities and/or Professional Schools Attended: | |||
| SCHOOL | MAJOR | DATES OF ATTENDANCE | DEGREE |
| __________________________ | ____________ | _____________ | ____________ |
| __________________________ | ____________ | _____________ | ____________ |
| __________________________ | ____________ | _____________ | ____________ |
| __________________________ | ____________ | _____________ | ____________ |
| __________________________ | ____________ | _____________ | ____________ |
| From what source will you receive aid while attending the Theatre Academy?
________________________________ Check all that apply: [] California Resident (more than 1 year) OR [] Will Require Student Visa Country of Citizenship: _______________ |
In Case of Emergency, please contact:
Name ________________________________ Address ________________________________ ________________________________ phone # (_____) ____________________ Relationship _______________________ |
| Are there any medical and/or physical conditions that would prevent you from fully participating in all Academy activities?
[] Yes [] No -If yes, please explain _____________________________________________________________________ |
| Have you ever applied to the Theatre Academy before? [] Yes [] No If yes, semester ________Year__________ |
| Have you ever taken any theatre classes at L.A. City College? [] Yes [] No -If yes, which class(es) ___________________________________________________ |
| Previous Theatre Training: List all courses in theatre, art, drafting, architecture or any related subjects. |
| COURSE NAME/ DESCRIPTION | LOCATION | DATES |
| ________________________________________ | ____________ | ____________ |
| ________________________________________ | ____________ | ____________ |
| ________________________________________ | ____________ | ____________ |
| ________________________________________ | ____________ | ____________ |
| Special Skills: (List all that relate to scenic technology, design, carpentry, painting and computer.)
___________________________________________________________________ ___________________________________________________________________ |
| How did you hear about the Theatre Academy at Los Angeles City College?
_____________________________________________________________________ |
| If there is additional information about yourself that you would like us to know, please send it with the application.)
FINAL NOTE: The Theatre Academy at Los Angeles City College is stimulating, broadening, exacting and intensive. Work days are long and free time is limited. Much of the work is, of necessity, repetitious and exhausting. Before applying, prospective students should consider their emotional, physical, intellectual and financial preparedness for such a commitment. |
| If you have any other questions before completing this application, contact us at:
323.953.4000, x2971 or e-mail: faterf@lacitycollege.edu ** Successful candidates must also apply to LACC Admissions, 855 N. Vermont, Los Angeles, CA 90029. |