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Oddfellows Playhouse
128 Washington Street
Middletown, CT 06457

Name______________________________________________Date______________________

WES ADDRESS______________________PO BOX_______________EXT_______________

Email Address_________________________________________________________________

Home Address

_____________________________________________________________________________

_____________________________________________________________________________

Graduating Year____________

This Year's Wesleyan Work-Study Allotment__________________________________________

Work Experience-

Volunteer Experience-

Skills (indicate if you have any experience in the following areas and your level of proficiency
from 1 to 10)

Office Work

Computer Skills-	Level:

Data Entry-	Level:

Writing Press Releases, Letters, Etc.	Level:

Desktop Publishing-	Level:

Graphics, Poster Design-	Level:

Bookkeeping-	Level:

Receptionist/Telephoning-	Level:

House Manager for Theater Productions	Level:

THEATER RELATED

Experience with Kids-	Level:

Stage Manager-	Level:

Vocal Coach (text or singing)-	Level:

Director-	Level:

Dance / Choreography-	Level:

Music (playing, band directing, composition, vocal direction, etc.)-	Level:

Tech Experience (set design and/or construction, lights, sound)-	Level:

Acting-	Level:

List any other skills you have which you think might be useful in working at the playhouse.
Also tell us anything about yourself you think we should know.  Attach whatever else you
think is relevant.

From what you know of Oddfellows, where do you think you would fit in?

What are the best hours you could work?  How many hours would you like to work?
(Call us or fax us later if you don't know your schedule now.  The sooner the better.)