Petition To Work Off-Campus

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Today's Date *

YYYY

Full Name *

Email Address *

Date of Birth *

YYYY

Phone Number (XXX) XXX-XXXX *

Street Address (Not Wesleyan Mailbox) *

City *

State *

Zip Code *

Student ID *

Grade Level/Classification *

Freshman

Sophomore

Junior

Senior

Please describe the role/position you are petitioning to work. *

Please describe the production and theatre/organization. *

What is the start date for this position? *

The start date must be at least two weeks before the time of this petition request.

YYYY

What is the end date for this position? *

YYYY

As of today, which theatre courses are you taking? *

As of today, what is your current production hour total? *

By submitting this form, I understand that if I am given departmental permission to accept this job/position, then I am still required to fulfill my weekly production assignments and am not excused from any classes, course work, or mainstage production assignment. *

Yes

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