University of Dubuque

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Fine and Performing Arts Interest Form

University of Dubuque Theater Interest Form

Personal Info
Name:
Address:
City:
State:
Zip:
Country (if not USA):
Email:
Parent's Name(s):
Phone:
Cell Phone:
Best time to contact:
When do you plan to attend UD?:
High School/College Info
High School:
High School Phone number:
Theater Director's Name:
Graduation Year:
Transfer student: Yes No
If yes, list college(s):
Anticipated Major:
Other Major:
Theater Information
Please provide a general background of your theater experience.
This may include experience in school,
church, camps, etc.
Please list any honors and/or awards you have received.
What roles have you played in previous productions?
Other Information
Have you visited University of Dubuque? Yes No
Please list other colleges you are considering.
Additional Comments