Employment Application

Name:
Last: First: M.I.

Address:

City: State: Zip:

Phone:
Day: Night:

Email:

Desired position and occupation goals:

Areas of skill and proficiency in technical theatre:

Put the appropriate number to each area:
Proficient Competent Adequate Intersted, inexprienced No interest	Stage Mgt. Grip Carpentry Electric Sound	Wardrobe Costume Props Follow Spot Fly/Rigging
	Other:

Availability (Check One):

Full Time

Steady Part Time

Occasional

Describe previous experience and/or education background:

Former Employers (List most recent employer first)

References

I authorize investigation of all statements contained in this application.