wings_of_the

Apprenticeship Application

Full Name
Sex

Male
Female
Date of Birth mm/dd/yyyy
Email Address
Phone Number
Address
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Are you currently a member of any church?
Yes
No
Please give a brief testimony of your Salvation
List any theatre companies/drama schools you have previously participated with:
List some of your favorite roles, technical theatre positions, or achievements:
How did you hear about the SLP Apprenticeship?
I am:

Single
Engaged
Married
Separated
Divorced
Full Name of a parent/next of kin:
Address of parent/next of kin
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Phone Number of parent/next of kin
Email Address of parent/next of kin
Name of High School:
Date of High school graduation:
Type of school:
Public
Private
Homeschool
Have you attended college?
Name of college and field of study:
Have you ever been expelled or dismissed from a school for academic or disciplinary reasons?
Yes
No
Have you ever been convicted of a felony or misdemeanor?
Yes
No
Are you prohibited, by penalty, from interacting with children for any reason?
Yes
No
Do any circumstances prevent you from working in the United States legally?
Yes
No
Name of first reference (May not be a relative)
How do you know this reference?
Phone Number of first reference
Email Address of first reference
Name of second reference (May not be a relative)
How do you know this reference?
Phone Number of second reference
Email Address of second reference
Do you have a valid driver's license?
Yes
No
Do you have any special skills or experience that may be pertinent to your work in Christian Theatre?
Are you covered by health insurance?
Yes
No
Have you had any surgeries?
Yes
No
Has a doctor put a limitation on your physical activity?
Yes
No
Do you have any learning disabilities?
Yes
No
Please list any allergies:
Please explain any handicaps, disabilities or health concerns that may limit physical activity:
Any other health issues that we should be aware of?
I have read and agree with the statement of faith:
Yes
No
I have read and support the standards of conduct:
Yes
No