KCACTF Region V

Stage Directors and Choreographers Society (SDC) National Fellowship Scene Audition

Student Director:	First Name: Last Name:
Student Director's Mailing Address:	Street: City: State: Zip:
Student Director's Phone:
Student Director's Email:
This audition comes from students at this college/university:
Faculty Advisor's Name:
Faculty Advisor email:
Faculty Advisor Phone:
The scene I have chosen from the approved National List of Scenes is from...
Names/Contact information of Actors and Characters in the scene:
#1
Actor Name:
Character Name:
Email:
Phone:
#2
Actor Name
Character Name:
Email:
Phone:
#3
Actor Name:
Character Name:
Email:
Phone:
#4
Actor Name:
Character Name:
Email:
Phone:
#5
Actor Name:
Character Name:
Email:
Phone:

At the time of this audition, 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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