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First Name

Last Name

Email Address

Phone Number

Address

Town/City

Postal Code

Secondary school or comparable institution/program

Please indicated where you will be graduating from.

Name of institution or program you wish to attend

Describe your intended program of study

Attach an additional document if necessary.

Describe your involvement with the Sid Williams Theatre and with performing arts in the Comox Valley

Attach an additional document below if necessary.

Please list your references (including name, contact info, and relationship).

Please attach a transcript from your secondary institution (interim transcripts or report cards are acceptable).

Attach additional document about program of study

This is optional.

Attach an additional document about involvement with the Sid Williams Theatre and performing arts

This is optional.

What is thirteen minus 7?

This is to prove you are not a robot.

Number only. Example: 6