| PACSA Application |
NAME:
ADDRESS:
ADDRESS:
ACADEMIC SCHOOL NOW ATTENDING:
GRADE POINT AVERAGE:
(PLEASE ATTACH VERIVICATION OF GPA by original or notorized copy)
(PLEASE ATTACH VERIVICATION OF GPA by original or notorized copy)
SCHOOL OF THE ARTS YOU ARE ATTENDING:
OTHERS YOU HAVE ATTENDED:
PLEASE SUBMIT YOUR PHOTO AND RESUME (SUMMARY) OF YOUR WORK
(PLEASE CHECK)
IF YOU ARE AN ACTOR____________ OR A DANCER__________
PLEASE SUBMIT A VHS VIDEO RECORDING OF ONE OF YOUR BEST PERFORMANCES
PLEASE SUBMIT A VHS VIDEO RECORDING OF ONE OF YOUR BEST PERFORMANCES
IF YOU ARE AN ARTIST____________ OR A DESIGNER__________
PLEASE SUBMIT SAMPLES OF YOUR BEST WORK
PLEASE SUBMIT SAMPLES OF YOUR BEST WORK
IF YOU ARE A SINGER____________ SONGWRITER__________
RECORD PRODUCER__________ OR A COMEDIAN__________
PLEASE SUBMIT AN AUDIO CASSETTE RECORDING OF YOUR WORK
RECORD PRODUCER__________ OR A COMEDIAN__________
PLEASE SUBMIT AN AUDIO CASSETTE RECORDING OF YOUR WORK
IF YOU ARE A MODEL__________
PLEASE SUBMIT PHOTOS (HEAD SHOT, 1/2, 3/4 AND FULL BODY) STATS & RESUME
PLEASE SUBMIT PHOTOS (HEAD SHOT, 1/2, 3/4 AND FULL BODY) STATS & RESUME
BE PREPARED TO EXIBIT OR PERFORM YOUR SUBMISSION LIVE IF REQUESTED TO!
Please write a breif essay, in two hundred (200) words or less, telling why you feel you should receive a
PACSA Award.
PACSA Award.
Please MAIL your application, Transcript, Essay and sample of your work to:
40-40 Vision / PACSA
P. O. Box 12633
Kansas City, MO 64116-0633
P. O. Box 12633
Kansas City, MO 64116-0633
Note: Items submitted will not be returned unless return postage is included in submitted package!
AGE:
PARENT'S SIGNATURE :
(IF UNDER 18)
PARENT'S SIGNATURE :
(IF UNDER 18)