Jane Eyre Audition Form

Please complete the audition form in full using BLOCK LETTERS, Please note if under the age of 18 parents or guardians must complete this form: Fields marked with * are mandatory.

First Name:*

Surname:*

Email Address:

House Number/Name:*

Street:*

Town:*

County*:

Postcode:*

Mobile Number:

Home Telephone:*

Parent/Guardian Name:*[if under 18 years of age]

Parent/Guardian Contact Number:*[if under 18 years of age]

If under 18 years of age please provide your date of birth:*

If over 18 years of age please select the appropriate option:*

18 – 25 26 - 34 35 – over

Would you like to be considered for a principal part? e.g. Jane Eyre, Edward Rochester, Mfr. Brocklehurst etc: If yes, please give an indication as to which part(s) you feel you would be most suited:

Jane Eyre Rochester Blanch

Mrs. Fairfax Brocklehurst St. John Rivers

Mrs. Reed Young Jane Helen

Should your audition for a principal role be unsuccessful would you still accept a place within the company?*

YES NO

Please list any performance experience to date:

Please give details of any other productions with which you are involved between now and one month after this NOS production. Please give details of rehearsal dates and show dates.

Production Dates

State below any dates from June 2009 until October 2009 for which you are not available and why.

Dates Reason

Please state below any weekly commitments you have i.e. Dancing / Singing / Music / Clubs/ Choirs/ Work that could impede rehearsal times and dates.Please state days / weeks that you are unable to attend due to holidays.

*Please note: It is essential that you attend all rehearsals/performances as called and any failure to do so could result in withdrawal from the production.

Signature______________________________ Date_______________