COBALT STUDIOS  TEACHER TRAINING FOR SCENIC PAINTING
  I WANT TO ATTEND: REC'D DATE  
2007 APPLICATION    HS thru Stagecraft SESSION 1   FEE:  
Creating a College Course SESSION 2   NOTIFIED:  
 
NAME              
CURRENT ADDRESS  
                 
                 
                 
PHONE       PHONE      
CELL       EMAIL      
EMPLOYER  
        CONTACT      
        PHONE      
        EMAIL      
EDUCATION SCHOOL Degree Date
                 
                 
                 
                 
EXPERIENCE & EXPOSURE Include other seminars & painters or designers you have worked with
Please attache resume if available
                 
                 
                 
                 
REFERENCES Please name an academic, a professional and a personal reference (3 total)
Name Position Day Phone Type of Reference
                 
                 
                 
                 
What is your particular interest in this seminar?          
                 
                 
                 
Who will be responsible for payment?            
Yes No
Would you like to order a set of seven scenic brushes?  ($145 or market cost)    
  Yes No
Are you a smoker?    
Are you allergic to cats or dogs?     If so, which?      
Would you mind sharing a room?    
Will you be bringing a car?      
Do you have Food Allergies?     If so, what?      
Are you a Vegetarian?    
Do you want to apply for college credit?    
How did you hear about this program?