This serves to place the name of (First name) (Last name) ,

a student at (College/University name): in nomination as a candidate for the Irene Ryan Scholarship Audition. 

The nominee appeared in the role of : .

in our production of :  .

This production is entered at the (choose one): Associate Participating level.

This candidate is the (choose one) Director's Respondent's Selector's nominee.

At the time of the production, the nominee was a bona fide student in the following category:  Choose One... An undergraduate enrolled for at least 6 semester or 9 quarter hours A graduate student enrolled for at least 3 semester or 4 quarter hours A continuing part-time student enrolled in a regular degree or certification program

Name of Production Director: 

Name of Department Chair:

The two individuals named above vouch that the information on this form is accurate and true. 

Faculty coach/coordinator/contact email address:

Nominee's Email Address:

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