2007-2008 Student Profile
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Pennsylvania Leadership Charter School
CENTER FOR PERFORMING AND FINE ARTS
2008-2009
STUDENT PROFILE
Thank you for your interest in the Performing and Fine Arts program at Pennsylvania Leadership Charter School. In order to help us with placement and designing a program that best suits your needs, please complete the following information and return it to Center for Performing and Fine Arts. Once this information is received, you will be contacted to schedule an interview/audition.

(please note that this is separate from the interview required for all prospective PALCS students). Thanks again!

Please note: Of the information supplied below, please put an asterisk next to the best contact telephone and the best contact email for parents/guardians to be reached!
I am interested in attending the West Chester location.  
I am interested in participating via remote access.  
Name
Grade
(as of 9/2008)
Gender
Date of Birth:
     
Home Address
city
state
zip
county
school district
home phone
home email
student contact
cell phone
work phone
email
parent/guardian 1
name
cell phone
work phone
email
parent/guardian 2
name
cell phone
work phone
email
Current School
name
location
years attended
Previous School
name
location
years attended
Previous School 2
name
location
years attended
Experience and Interests
Our goal is to understand your background and, most importantly, your main artistic interests. Please keep in mind that the Center for Performing Arts is designed to offer a comprehensive program that covers as many disciplines as possible, and we encourage you to take advantage of the many opportunities to explore the arts!

Please indicate your level of interest from 1 (low interest) to 4 (high interest) for each of the following disciplines; then, indicate any experience you may have in that area. While previous experience is not a requirement, it helps to understand just what background you may have in a given area. Remember, numbers are to indicate INTEREST in studying/learning a particular area, not level of experience.
Theatre Acting/Performing
1 2 3 4
Experience:
Theatre
Technical Production
1 2 3 4
Experience:
Creative
Writing
1 2 3 4
Experience:
Dance
1 2 3 4
Experience:
Please check Below All Dance Forms
You Are Interested in:
Ballet Tap Jazz Modern Social Cultural
Art
2-D Drawing/Painting
1 2 3 4
Experience:
Art
Illustration
1 2 3 4
Experience:
Art
3D Sculpture/Ceramics
1 2 3 4
Experience:
Art
Photography
1 2 3 4
Experience:
Music
Voice
1 2 3 4
Private Study
Years =
Music
Instrumental Strings
1 2 3 4
Private Study
Years =
Music
Instrumental Woodwinds
1 2 3 4
Private Study
Years =
Music
Instrumental Guitar
1 2 3 4
Private Study
Years =
Music
Other
1 2 3 4
Private Study
Years =
Please use the space below for any additional information you would like to
share with the staff of the Performing and Fine Arts Program.
Thank you very much!
Please press the submit button .
You can download the 2008-2009 student profile below.
and mail it to:
Center for Performing and Fine Arts
211 Carter Drive, Suite C, West Chester, PA 19382
Download the "Microsoft Word" 2008-2009 Profile by clicking HERE
or on the icon to the right.
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809 kb
 
Download the "Adobe PDF" 2008-2009 Profile by clicking HERE
or on the icon to the right.
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136 kb