Application form for KC/ACTF Student Directing Institute

Your Name (required)

Today's Date (required)

Name of College/University (required)

Campus Telephone (required)

Home Phone (required)

Campus Email) (required)

Home Email (required)

I will attend the entire Regional Festival, Jan. 12-15: (required)
 Yes No

The program(s) for which I am applying is/are (required)
 Student Directing Institute Production Development Team Director Shadow program with NPP

Reason(s) for interest in the Directing Institue

Name of Supporting Faculty Member: (required)

Faculty Member's Email: (required)

Faculty Member's Phone: (required)