Students, please fill out this form in its entirety, and submit NO LATER than December 1, 2017.
All fields required
Name of College:
Your Campus Phone:
Your Cell Phone:
Are you available to attend the Regional Festival for the entire week?: YesNo
Scene Selected: (from list of scenes provided)
Are you an Irene Ryan Nominee or partner? YesNoDon't know yet
Are any of your actors Irene Ryan Nominees or partners?: YesNoDon't know yet
Name of Nominating Faculty Member:
Faculty Member Email: (required)
Faculty Member Phone:
For questions or further assistance please contact
Region II SDC Coordinator:
Heidi Winters Vogel
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