Prospective Students Questionaire

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First Name:
Last Name:
Date of Birth:		(mm/dd/yyyy)
E-Mail (required):
Street Address:
City:
State:
Zip:

Telephone # (including area code):
The best day to reach me is:
The best time to reach me is:
The latest someone should call is:

What I am looking for in a theatre department:
I am interested primarily in the following area:
I am also interested in the following area:
I expect to graduate from high school in:
		ACT Score:
		SAT Score:
		Class Rank:
		Grade Point Avg.:
I am transferring from another college/university		Yes No
	If yes, I have attended the following other institutions:

I wish to receive a mailing from the Dept. of Theatre:		Yes No
I plan to audition for a Theatre scholarship:		Yes No
My first choice for scholarship audition date is:

I am interested in complimentary tickets to a production:		Yes No
I have already applied to the university:		Yes No
	If yes, I have been admitted:	Yes No
Term in which I intend to enter UIndy (required):		Fall Spring	Year