ELSIE MCLEOD MEMORIAL YOUTH BURSARY

 

(To be completed by group representative)

 

YEAR:

 

 

NOMINEE:

 

 

ADDRESS:

 

 

TELEPHONE:

 

 

 

GROUP REPRESENTATIVE:

 

 

ADDRESS:

 

 

TELEPHONE:

 

 

 

 

CERTIFICATION:

 

IS A MEMBER IN

 

(Nominee)

 

 

GOOD STANDING OF

 

                               

 

(Nominating Group)

 

 

 

NOTE:  It is extremely important to be THOROUGH in the completion of all forms and questions as the successful candidate will be chosen on the strength of this written application.

 

Any appended support documentation is also extremely important.  Please use additional, separate sheets as required.  Be sure to note Form and question numbers on any additional sheets.

ELSIE MCLEOD MEMORIAL

YOUTH BURSARY – FORM ONE

 

(To be completed by the nominating group)

 

1.

a)

How long has the nominee been associated with the group?

 

 

 

 

 

 

 

b)

In what capacity and in what way(s) has the nominee been associated with the group?

 

 

 

 

 

 

 

c)

If different from 1 a), how long has the nominee been a member in good standing of the group?

 

 

 

 

 

 

2.

Please comment on the following facets of the nominee’s theatre involvement:

 

 

 

 

a)

creative ability

 

 

 

 

 

 

 

 

 

 

b)

ability to benefit from attendance at a Theatre Ontario Youth course

 

 

 

 

 

 

 

 

 

 

c)

ability to function in, and contribute to, the “company” situation

 

 

 

 

 

 

 

 

 

 

d)

ability to share these benefits with both youth and adult

 

 

 

 

 

 

 

 

 

 

e)

those qualities which precipitated your group’s nomination

 

 

 

 

 

 

 

 

 

 

f)

other

 

 

 

 

 

 

 

 

 

3.

Please indicate any confidential information which is for the adjudicator’s/President’s eyes only and not be used for press releases.

 

 

 

 

4.

Please list appended support letters and writers’ relationship to the nominee and/or the group

 

 

 

 

 

 

 

 

 

I HEREBY ACKNOWLEDGE AND DECLARE to the best of my ability as the group representative, that the information given on this form, appended sheets and support material, is accurate and truthful.

 

 

Signed by:  ______________________________  Date:  __________________________

 

 

ELSIE MCLEOD MEMORIAL

YOUTH BURSARY – FORM TWO

 

(To be completed by the nominee)

 

1.

List name(s) of any theatre group(s), aside from the nominating group, that you are presently working with and what your involvement is.

 

 

 

 

 

 

 

 

 

 

 

 

2.

Have you attended a Theatre Ontario (T.O.) Training Course at any time in the past?

 

 

 

 

 

 

 

If so, please indicate when and what course(s).

 

 

 

 

 

 

 

 

 

3.

Are you presently a member of T.O.?

 

 

 

 

 

 

4.

If you are the successful nominee, would you be available to attend a Theatre Ontario Youth Theatre Course for a week in mid-August?

 

 

 

 

 

 

5.

Please comment on:

 

 

 

 

a)

why you wish to attend a T.O. Youth Theatre course

 

 

 

 

 

 

 

 

 

 

b)

what you feel you could learn and/or what you would like to learn at such a course

 

 

 

 

 

 

 

 

 

 

c)

what you see as your future involvement in theatre

 

 

 

 

 

 

 

 

 

 

d)

what benefit your nominating group and other groups that you work with could or would receive from your training

 

 

 

 

 

 

 

 

 

6.

Please attach as separate pages your theatrical portfolio (chronology should be from the most recent back) including:

 

 

 

 

a)

Complete resume of theatrical experience, including dates, name of production, company, role/production/business specifics

 

 

 

 

b)

List of training courses/workshops, dates completed, instructor/teacher’s name

 

 

 

 

c)

List of any achievements and/or awards with dates received

 

 

 

 

d)

Copies of reviews and press clippings

 

 

 

 

e)

Reference and support letters

 

 

 

ALL ATTENDEES AT THEATRE ONTARIO YOUTH SUMMER COURSES MUST HAVE PARENTAL/LEGAL GUARDIAN CONSENT

 

 

 

To be completed by parent/legal guardian:

 

I, the undersigned parent/legal guardian of ____________________________________,

acknowledge the submission of this questionnaire, and further do hereby give my permission for him/her to attend this year’s Theatre Ontario Youth Summer Course if he/she is the recipient of the Elsie McLeod Memorial Bursary.

 

Signed by:  _______________________________ Date:  _________________________

 

 

 

To be completed by nominee:

 

I hereby acknowledge and declare to the best of my ability that the information given on and with this form is accurate and true, and I further acknowledge that, if awarded the bursary and am unable to attend the Theatre Ontario Youth Course this year, I will advise the QUONTA President immediately.

 

Signed by:  _______________________________ Date:  _________________________