This is a text (HTML) version of the PCAC Youth Excellence
in Arts Awards Application Form. You can print it out
and use it as a mail-in form. (Click
here to download a one-page PDF version of this form.)
In order for your application to be reviewed, this form must be
completed in full and mailed with the recommendation form and all
required materials by U.S. Mail only, no later than March
31, 2008 to:
PCAC YEA! Awards Committee, P.O. Box 1298, Pleasanton,
CA 94566
For your application to be reviewed, this form must be typed (or
carefully printed in ink) and must be complete.
Name: ________________________________________________________________________________________________
Phone (Day): ________________________________________ (Evening):
_______________________________________
Address: ______________________________________________________________________________________________
City: ______________________________________________________ State:
__________ Zip: _____________________
E-mail: ________________________________________________________________________________________________
School (or Pleasanton private teacher's) Name: ___________________________________________________________
(If
not in school, so indicate)
Age (must be 14-20 years old): ____________ Date of Birth:
_____ /_____ /_____
Circle the award that you are applying for (you
may only apply for one):
Creative
Writing
Visual Arts (Phyllis Wentworth Award)
Music (Renee
Smith Award)
Drama/Dance/Film
Circle YES opposite each item in order
to indicate that you have included the correct material(s) with
your application. Do not send the originals.
| Creative Writing: I
have included my poetry (6 or more poems) which I have written,
or one of my short stories (fiction or non-fiction, less than
2,000 words). |
YES |
| If selected as a Creative
Writing finalist,
I realize that I'll be called upon to present my
selection(s) in a live reading before the judges (time and place
to be arranged once finalists are selected) |
YES |
| Visual Arts (Phyllis
Wentworth Award): I have included 3-5 photos or slides
of my visual arts pieces (such as a painting, drawing, sculpture,
or graphic design) or 4 of my artistic photos. |
YES |
| If
selected as a Visual
Arts finalist, I realize that I'll be called
upon to provide three of my original pieces for possible display in
a local public art gallery or show in order for final judging to take
place (time and place to be arranged once finalists are selected). |
YES |
| Music (Renee Smith Award): have
included an audio tape, CD, or video tape
of my singing or of myself playing an instrument, or a CD, DVD or audio tape
of
two of my written musical compositions, along with the score for those compositions. |
YES |
| If
selected as a Music finalist, I realize that
I will be required to present my music at a live audition in
order for final judging to take place (time and place to be
arranged once finalists are selected). |
YES |
| Drama/Dance/Film: I
have included one video tape of one of my performances (either
acting, dancing or performing a speech or routine) or a 10-minute
segment (or longer) on video of a self-made film. If you appear
with other performers, please identify yourself carefully. |
YES |
| If
selected as a Drama/Dance/Film finalist,
I realize that I will be expected to perform in a live audition of 4-10
minutes or present a live showing of my film in order for final
judging to take place (time and place to be arranged once finalists
are selected). |
YES |
| I have included only copies of my
work (no originals, please!). |
YES |
| I have included the written recommendation (on
the provided form) with the application. |
YES |
I have explained how I will spend the money awarded to me as
follows:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________ |
YES |
Mail this application
form, the recommendation form and all required materials by
U.S. Mail only,
postmarked no later than March 31, 2008, to:
PCAC YEA! Awards Committee
P.O. Box 1298
Pleasanton, CA 94566
For additional information, please call Rebecca Bruner
at 925-577-8802 or Keith Kang at 925-417-2221. |
|
