This serves to place the name of (First name) (Last name) ,
a student at (College/University name): in nomination as a candidate for the Irene Ryan Scholarship Audition. The nominee appeared in the role of : ,
in our production of : .
This production is entered at the (choose one): Associate Participating level.
This candidate is the (choose one) Director's Respondent's Selector's nominee.
At the time of the production, the nominee was a bona fide student in the following category: Choose One... An undergraduate enrolled for at least 6 semester or 9 quarter hours A graduate student enrolled for at least 3 semester or 4 quarter hours A continuing part-time student enrolled in a regular degree or certification program
Name of Production Director:
Name of Department Chair:
The two individuals named above vouch that the information on this form is accurate and true.
Faculty coach/coordinator/contact email address:
Nominee's Email Address:
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