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ellen stewart international award_application
Ellen Stewart International Award - 1° Edition 2015/2016 APPLICATION FORM - Deadline 30 November 2015 Send by mail to: [email protected] Date:______________________________ Name of Nominator:__________________________________________________________ ____________________________________________________________________________ Name of Nominee(s): _________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Address of Nominee(s): _______________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Phone: ______________________________ Mail: __________________________________ web site: ___________________________________________________________________ Link: _______________________________________________________________________ 1) Short bio of Nominator (200 words) pag 1 / 4 2) Short bio of Nominee (500 words) 3) Describe why the Nominee is appropriate to be the recipient of the Ellen Stewart Award, including the impact of the work on community and youth (500 words) pag 2 / 4 4) What key accomplishments of the Nominee most impress you? (200 words) 5) Please include link to photographs and/or video clips of the Nominees’ relevant theatrical work (All documentation must be in digital form, accessible online) ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ pag 3 / 4 6) Please include a maximum of 5 press references to the Nominees work. (All documentation must be in digital form, accessible online) ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 7) List the Names of Supporters who have written the attached Letters of Support with their contact information: 1. __________________________________________________________________________ 2. __________________________________________________________________________ 3. __________________________________________________________________________ Date_______________________ Signature _______________________________________ pag 4 / 4