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Essential Playback Theatre Summer 2022 - Student Information Form
Please complete this form with thoughtful responses. This information will be forwarded to the course instructor to help them shape the course's form and content.
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CONTACT INFORMATION
Name
*
Your answer
Email
*
Your answer
Town or City and Country where you live
*
Your answer
Telephone
*
Your answer
PERSONAL INFORMATION
Gender Pronouns
She/Her/Hers
He/Him/His
They/Them/Theirs
Clear selection
What is your profession?
*
Your answer
PLAYBACK GOALS AND EXPERIENCE
What are your goals for this course?
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Your answer
Describe your prior Playback training including performances.
*
Your answer
Are you currently a member of a Playback Company?
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Yes
No
Former Member
Company Name and its focus?
Your answer
Length of time with company?
Your answer
Your role with company?
Your answer
Describe other theatre, artistic or expressive experiences.
*
Your answer
Describe any other intensive or immersive group experiences.
*
Your answer
DIVERSITY, EQUITY, INCLUSION AND BELONGING
The NYSPT is committed to hiring, teaching and creating learning spaces that are diverse, inclusive, and equitable for all students and teachers.
Please describe your prior training around systemic oppression (race, class, gender, etc). This may include classes, seminars, events, or personal reading.
*
Your answer
You're done! Thank you!
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