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24-25 JumpStart Theatre Application
General Information
School Name
(Required)
School Address
(Required)
Street Address
Address Line 2
City
Alabama
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American Samoa
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Delaware
District of Columbia
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New York
North Carolina
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Northern Mariana Islands
Ohio
Oklahoma
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Pennsylvania
Puerto Rico
Rhode Island
South Carolina
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Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Name
(Required)
Phone
Email
(Required)
Principal Name
Assistant Principal Name
Number of Students Enrolled
Number of Teachers
Number of Arts Teachers
Number of Staff
Does the school have an auditorium (or similar space)?
Yes, we have an auditorium
Yes, we have a similar theatrical space
No, we don't have an auditorium or a similar theatrical space
Which of the following does the auditorium (or similar space) have? Check all that apply.
Theatrical lighting system
Sound system
Permanent seats
Proposed JumpStart Team Members
Administrator 1
Teacher 1 (Director/Main Contact)
Teacher 2 (Music Director)
Teacher 3 (Choreographer)
Parent Coordinator (if known)
Programming Questions
Do you offer any after-school programming in your school?
Yes
No
Please explain the programming:
Do you currently offer any arts programming in your school?
Yes
No
Please explain the programming:
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?
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