Top Billing Entertainment Performance Academy Seussical Jr. 2022 Audition Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are excited you are joining us! Please help us save time at auditions by completing this form before arriving. You will not be considered for a role until this form is complete. We will not share this information. Please contact Kristina Keener Ivy with any questions at kkivy@topbillingent.org or 626-963-1300.

Performer's Name *

Performer's Email *

Performer's Phone Number *

Performer's Age *

Performer's Height

Performer's T-shirt Size *

Performer's Pant Size

Sex

Prefers to play female characters

Prefers to play male characters

Will play characters of any sex

Other:

Siblings/Family Members I need to be in same cast with:

Parent/Guardian's Name *

Parent/Guardian's Phone *

Parent/Guardian's Email

Address *

List any physical limitations that might affect performer's movement or vocal capability:

List any medical conditions or special accommodations the perform may need during rehearsals and performances:

Vocal Range?

Soprano

Alto

Tenor

Baritone

Bass

Don't Know

Other:

Sing Harmony?

Yes

Other:

Clear selection

Conflict Dates - please list any rehearsal or performance conflicts here. If you do not list them now and miss more than three required rehearsals, you may lose your role or lose a performance. We do our best to change the rehearsal schedule to accommodate conflicts, but need to know now at the start of the rehearsal process. (We only Tuesdays & Thursdays 7-9 pm, Saturdays 12-8 pm.)

Are you willing to provide costumes pieces for yourself either from your own wardrobe or purchased?

Yes

Clear selection

Musical Theatre/Dramatic Training and Experience:

Musical Instrument or Vocal Training and Experience:

Dance and Other Relevant Training and Experience:

How did you hear about auditions?

E-mail

Facebook

Flyer

Friend

Instagram

Twitter

Other

Other:

Optional Affirmative Action Survey

We will not discriminate on the basis of race, color, sex, age, national origin, religion, sexual orientation, disability, marital status, parental status, or any other legally protected status in any of our policies, programs and practices, including our admission policies, selection of board members, scholarship programs, and hiring and retention of faculty and staff. In an effort to help us comply with legal record keeping requirements regarding Affirmative Action, we ask that you complete the information requested below. Please be advised that your completion of this form is NOT part of your official application. It is considered confidential information. Refusal to provide this information will have no bearing on your application and will not subject you to any adverse treatment. If you choose to participate by completing the following questions, we thank you for your cooperation.

Race/National Origin – Check the box below that corresponds to the category that best identifies your race/ethnicity. IMPORTANT: If you check the “Two or more races” box, please also check ALL boxes that identify your race/ethnicity.

Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native - A person having origins in any of the original peoples of North and South America

Black or African American - A person having origins in any of the black racial groups of Africa.

Caucasian - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa

Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

Native Hawaiian or Other Pacific Islander - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Two or more races - All persons who identify with more than one of the above five races.

Do not wish to identify - All persons not wishing to self-identify race/ethnicity

Other:

Veteran Status - Please check all boxes below that apply. Identification of veteran status is essential for effective affirmative action data collection and analysis. If you choose to identify your veteran status, the information you provide will be used for statistical purposes only.

Veteran of the Vietnam Era: A person who (I) served on active duty in the U.S. military, ground, naval, or air service for a period of more than 180 days, and who was discharged or released there from with other than a dishonorable discharge, if any part of such active duty was performed: (A) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in all other cases; OR; (II) was discharged or released from active duty in the U.S. military, ground, naval, or air service for a service- connected disability if any part of such active duty was performed (A) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (B) between August 5, 1964 and May 7, 1975, in any other location.

Special Disabled Veteran: A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans’ Affairs for a disability – a) rated at 30% or more; b) rated at 10 or 20% in the case of a veteran who has been determined under Section 38 U.S.C. 3106 to have a serious employment handicap; or c) a person who was discharged or released from active duty because of service-connected disability.

Other Protected Eligible Veteran: Veterans who served on active duty in the U.S. military, ground, naval, or air service during a war or in a campaign or expedition for which a campaign badge, a service medal, or an expeditionary medal has been authorized. To identify campaigns or expeditions that may meet this criteria, you may visit the following website: www.opm.gov/veterans/html/vgmedal12.htm

Newly Separated Veterans: Any veteran who served on active duty in the U.S. military, ground, naval or air service during the past one-year period, beginning on the date of such veteran’s discharge or release from active duty.

Not Applicable

Other:

Disability Status – Please check the below box if applicable. The ADA's first definition of disability states that a disabled person is someone who has a mental or physical impairment that prevents participation in major life activities. If an individual has a record or history of such an impairment, he is considered disabled. Finally, if the individual is regarded as having a mental or physical impairment, the individual is considered disabled under the ADA's first definition of disability. The ADA defines a physical impairment as a physiological disorder or condition, anatomical loss, or cosmetic disfigurement that impacts one or more body systems. The ADA defines a mental impairment as any psychological or mental disorder, such as emotional or mental illness, mental retardation, organic brain syndrome, and learning disabilities. The U.S. Equal Employment Opportunity Commission and ADA regulations do not offer a list of all the specific conditions that are considered impairments because it is difficult to be comprehensive. Also, it will be difficult to include the new disorders that may develop in the future.

Learning Disability

Mental Disability

Physical Impairment

Physical Disease

Not Applicable

Other:

What was your total household income before taxes during the past 12 months?

Less than $25,000

$25,000 to $34,999

$35,000 to $49,999

$50,000 to $74,999

$75,000 to $99,999

$100,000 to $149,999

$150,000 or more

Decline to state

Other:

Clear selection

Total Household Members

9 or more

Other:

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Top Billing Entertainment Performance Academy. Report Abuse

Forms