Questions? Contact SMTI at smti@wagner.edu or (718) 390 3223

Applications must be postmarked/emailed by March 31, 2018. Early acceptance possible.

Applications received after deadline may be accepted if slots are available Students are encouraged to submit an application early. The number of spots are limited.

APPLICATION for SMTI 2018

Student Information

Student Name: Phone: H

Address: C

City, State, ZIP:

High School: Grade in Fall ‘18:

Theatre teacher: Age:

Theatre teacher email: Birth

date:

T-Shirt Size: S ¨ M ¨ L ¨ XL ¨ Gender: ______

Parent/Guardian Information

Name: Phone: H

Phone: C

Email: W

Address:

City, State, ZIP:

Relationship:

Application Check List :

¨ Completed Application ¨ Personal Essay (See SMTI FAQ for details) ¨ Audition Recording (DVD/email/flash drive) ¨ Resume & Headshot (or current snapshot) ¨ Non-refundable Application Fee ($50.00)

Send your completed application to :

SMTI at Wagner College c/o Susan Fenley - Theatre Dept One Campus Road Staten Island, NY 10301

SMTI at Wagner College Application (Continued)

Questions? Contact SMTI at smti@wagner.edu or (718) 390 3223

PERFORMING EDUCATION & EXPERIENCE ¨ Resume Enclosed (Preferred)

Training Performing Experience How did you hear about SMTI? ¨ Teacher or principal ¨ Wagner student ¨ Email: _________________ ¨ Friend ¨ Wagner College site ¨ Other: __________________

APPLICATION FEE AND TUITION ¨ Non-refundable Application Fee $50.00 ¨ Tuition, Housing and Meals (due after acceptance) $3,500.00 Standard or $3,400.00 Early bird (by Feb. 28, 2018) TOTAL .00

PAYMENT METHOD: ¨ Check (Please make checks to: Wagner College, Memo: SMTI) ¨ Credit Card

Name on Card: Type of Card:

Number: Expiration:

Signature: Today’s Date: