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Fine Arts Division

Theatre Department Application

Theatre Application
Entering Year:
Full Name
Birthdate
ex. 03/13/92
Permanent Address
City
State/Province
Zip/Postal Code
Country
Phone Number
ex. (123) 506-7890

 		  
Present Address
City
State/Province
Zip/Postal Code
Country
Phone Number
ex. (123) 506-7890

 		  
E-mail Address
Social Security Number
(last 4 digits ONLY)
High School Attended
Cumulative G.P.A.
Date of High School
Graduation (ex. 06/01)
Colleges Attended
 
 
SAT Score Composite:
   
ACT Score Composite:
List your theatre experience in whatever capacities you have been involved:
List any awards in theatre which you have received:
List your interest in various areas of theatre, in order of preference:
Acting, Costuming, Directing, Lighting, Make-Up, Publicity, Set Construction, Set Design:

Have two persons who can comment upon your involvement in the theatre send references directly to Cathy Thomas-Grant at the address listed below.  These letters are separate from your academic references for admission.

Cathy Thomas-Grant
Associate Professor of Theatre
Fine Arts Division
Pepperdine University
24255 Pacific Coast Highway
Malibu, CA 90263-4462

Fine Arts Division (310) 506-4462
FAX (310) 506-4077