Broadway Junior Project Application

Music Theatre International Broadway Junior Project™ Application

General Information:

School Name

Address

City

Zip Code

Phone

Fax

Principal

# of Students

# of Teachers

# of Staff

Name of the Freddie G. Fellow who introduced your school to the Broadway Junior Project

Does your school have an auditorium or similar space?

Yes

If yes, does the auditorium have:

A theatrical lighting system?

Yes

A sound system?

Yes

Permanent seats?

Yes

Proposed Broadway Junior Team Members:

Administrator 1

Teacher 1 (Director)

Teacher 2 (Music Director)

Teacher 3 (Choreographer)

Parent Coordinator

Programming Questions:

Do you offer any after-school programming in your school?

Yes

If yes, please detail the programming below.

Do you currently offer any arts programming in your school?

Yes

If yes, please detail the programming below.

Describe how you would schedule this program to fit into your school's schedule?

How do you hope this program will affect your in-school community?

How do you hope this program can affect the community around your school?

Signature Page

Each of the staff members listed below must electronically sign this application. This signifies they understand the project and they accept the responsibility associated with their potential involvement.

Teacher 1 (Director)

Signature (please type name)