Shakespeare Residency Request Form
Fill out the form below if you are interested in hosting a residency or residencies in your classroom. Once submitted, someone from the Education Department will contact you. If you have any questions, please feel free to call us at 215-496-9722 x101
Sign in to Google to save your progress. Learn more
Name of School *
Grade Level(s) *
Type of School *
Contact Name(s) *
School Mailing Address *
School Phone Number *
Contact Person's Phone Number (mobile or home) *
Contact Email Address *
Play/Curriculum wanted *
5- Day Residency Start Date (option 1) *
5- Day Residency Start Date (option 2) *
Teaching Artist Preference
Additional Comments
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Philadelphia Shakespeare Theatre. Report Abuse