August Wilson Monologue Competition Portland Application 2017-2018
NOTE: This is for next year's AWMC!! Get your application in early and we will connect with you in the fall of 2017.

Thank you for your interest in participating! Please complete this application form on or before December 31, 2017 for consideration.

First Name:
Your answer
Last Name:
Your answer
Age:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Gender:
Your answer
How do you identify? (Please check all that apply):
Required
Home Address:
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
Home Phone:
If you don't have access to a home phone/landline, please enter N/A for not applicable.
Your answer
Cell Phone:
If you don't have access to a cell phone, please enter N/A for not applicable.
Your answer
Do you receive text messages on your cell phone?
If you don't have a cell phone, please select "No."
E-mail Address:
Your answer
What is your preferred method of communication?
Please prioritize so we know how to best reach you throughout the competition.
Preferred 1st
Preferred 2nd
Preferred 3rd
Preferred 4th
Not preferred
Calling Home Phone
Calling Cell Phone
Texting Cell Phone
E-mailing
Parent/Guardian First Name:
Your answer
Parent/Guardian Last Name:
Your answer
Parent/Guardian Phone:
Your answer
Parent/Guardian E-mail:
Your answer
School:
Your answer
Grade Level:
Your answer
Teacher First Name:
Your answer
Teacher Last Name:
Your answer
Teacher E-mail:
Your answer
Type of School:
How did you hear about the August Wilson Monologue Competition? (Please check all that apply):
Required
Why is performing in the August Wilson Monologue Competition important to you?
Your answer
What are three words that best describe you?
Your answer
I am eligible to compete.
All current high school students in the greater Portland-area are eligible to apply.
I have given my correct contact information.
I have given my parent/guardian's correct contact information.
Student Signature:
Statement of commitment - I have read and am able to comply with all requirements of the August Wilson Monologue Competition. If completing the form online, electronic signatures are accepted. Simply write your full name followed by “electronic signature” on the signature line.
Your answer
Date:
MM
/
DD
/
YYYY
Parent/Guardian Signature:
Parent/Guardian permission - I have read requirements of the August Wilson Monologue Competition and give permission for my student to participate in the program. If completing the form online, electronic signatures are accepted. Simply write your full name followed by “electronic signature” on the signature line.
Your answer
Date
MM
/
DD
/
YYYY
Photograph/Video/Audio/Digital Image Release - Parent/Guardian Initial:
Dear Parent(s)/Guardian, By initialing below, you indicate that you understand that employees and/or independent contractors of The August Wilson Red Door Project of Portland may take photographs, video/digital recordings and/or audio recordings of your child involved in the August Wilson Monologue Competition. These images and recordings may be used for the purposes of advertising, fundraising, publicity, and/or archiving. The August Wilson Red Door Project will not provide compensation for the exhibition of any material generated under the terms of this agreement. Original materials will remain at all times the property of (including copyright) and in the possession of the August Wilson Red Door Project of Portland. If completing the form online, electronic initials are accepted. Simply write your initials followed by “electronic initial” on the initial line.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of The August Wilson Red Door Project. Report Abuse - Terms of Service - Additional Terms