Technical Theatre Internship Application

PCPA - Pacific Conservatory Theatre

First Name


Last Name


Today's Date
(mm-dd-yy)


Social Security # - ie. 123-45-6789


Cell Phone - ie. (555) 123-4567


Home Phone - ie. (555) 123-4567


Email


Areas of preference

Fall/Spring Internship


Summer Tech Internship - List order of preference
1.

2.

3.

Permanent Address Until... (mm-dd-yy)


Street


City


State


Zip


Current Address Until... (mm-dd-yy)


Street


City


State


Zip


Are you a California resident?
Yes          No

Present Employer (include business name and contact information)

Highest level of education completed


Dates Attended


Degree/Diploma


Name of Educational Institution


City, State

How did you hear about PCPA?


Other (please list):

References
Name
Title
E-mail
Phone
Name
Title
E-mail
Phone
Name
Title
E-mail
Phone

Once you hit the submit button you will have the opportunity
to upload a cover letter and resume. 






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