KCACTF Region V

10-minute Play / Assistant to Faculty Showcase Directing Application

I would like to be considered for: (You may apply for either one or both)	10-Minute Play Concert Reading Director Faculty Directing Showcase Assistant Director
Student Director:	First Name: Last Name:
Student Director's Mailing Address:	Street: City: State: Zip:
Student Director's Phone:
Student Director's Email:
Student Director's College/University:
Faculty Advisor's Name:
Faculty Advisor email:
Faculty Advisor Phone:

At the time of this application, we verify that all of these students are bona fide students in one of the following categories:

an undergraduate student* registered for at least six semester or equivalent quarter hours;
or a graduate student* registered for at least three semester or equivalent quarter hours;
or a continuing part-time student* enrolled in a regular degree or certificate program.

This information if verified by this department chair, vouching that the information on this form is accurate and true.

Chair's Name:

Chair's Email:

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