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
Name of School *
Your answer
Grade Level(s) *
Your answer
Type of School *
Contact Name(s) *
Your answer
School Mailing Address *
Your answer
School Phone Number *
Your answer
Contact Person's Phone Number (mobile or home) *
Your answer
Contact Email Address *
Your answer
Play/Curriculum wanted *
5- Day Residency Start Date (option 1) *
Your answer
5- Day Residency Start Date (option 2) *
Your answer
Teaching Artist Preference
Your answer
Additional Comments
Your answer
Submit
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