YOUR NAME Street Address City, State, Zip Telephone Number _______________________________________________________________________________ THEATRE Play Role Theatre or Production

Co. Play Role Theatre or Production Co. Play Role Theatre or Production Co. Play Role Theatre or Production Co. Play Role Theatre or Production Co. FILM, TV & RADIO Name of Production Role (or principal, extra, feature) Production Co. or Distributor or Channel Name of Production Role (or principal, extra, feature) Production Co. or Distributor or Channel Name of Production Role (or principal, extra, feature) Production Co. or Distributor or Channel Name of Production Role (or principal, extra, feature) Production Co. or Distributor or Channel EDUCATION & TRAINING (include training in any of the following areas) Acting: List teachers and schools Voice (singing): List teachers, school Voice and Speech: List teachers, school Movement: List teachers, school Dance: List types of dance, teachers, schools Stage Combat: List teachers, schools Also list colleges/universities attended, degree received (even if not theatre-related) SPECIAL SKILLS (list any that apply)

Singing/Dancing: List styles/types of anything you do well Musical Instruments: List anything you do well Sports: List anything you do well, both team and individual Foreign Languages: List anything you do well Dialects: List anything you do well Circus Skills: List anything you do well (e.g., juggling, unicycle riding) Other: List unusual party tricks, skills (e.g., contortionist, can tie cherry stem in knot with tongue, pterodactyl screeches, De Niro impressions, etc.)