LMDA RESIDENCY PROGRAM
2013
1. ORGANIZATION INFORMATION
Legal Name
of Organization: ___________
Mailing
Address:____________________________ ______________________
Phone: ______________ Fax: ______________ Web Site: _______________
Application
Contact & Title
______________________________
Contact Phone: ___________ Email:
____________________
1a) Theatre Mission Statement:
1b) Organization Background:
2.
DRAMATURG INFORMATION
Please also
attach a current bio or rŽsumŽ.
Name
of Dramaturg: ___________
Phone: ______________ Email:
__________________
LMDA
Status: ___________
3.
PROJECT INFORMATION
3a) REQUEST:
Please state
the amount requested to support this project.
3b) PROJECT
SUMMARY:
Please
include a summary of the project
3c) PROJECT
DESCRIPTION:
Please include a short and concise
description of the project, including a timeline or list of applicable dates.
3d) DRAMATURGICAL GOALS:
Please
include a simple statement about the theater's goals for dramaturgical input
into the project. Include the theater's expectations for dramaturgical
functions and the relationships that the theater hopes to foster with a dramaturg on board.