Accreditata dal M.P.I. Prot. n° 1011, 23 giugno 2006
Address: Via Roma 54, 18038, Sanremo (IM), Italy – Telephone: +39 0184 506070 www.acle.org – info@theatrino.com
Office use only.
Year for which applying__________ Received on_______________ Notes: _________________________________________________________________________________________ ______________________________________________________________________________________________
Please ensure the following are included with your application:
Your CV/resume Recent headshot photos, including one passport sized picture A copy of the details page of your passport A copy of your driver’s license (if applicable) Two references or completed ACLE reference forms Video link/video file/DVD (EU compatible) showreel, (if you are unable to attend an audition in London)
Please print clearly
If the below spaces are not sufficient, please use additional sheets of paper. First Name(s) Abigail Surname Brazier Stage Name Abigail Brazier Nationality American Gender Female Age 19 Date of birth 25/05/1998 E-mail address (dd/mm/yyyy) Current address 29 Hawthorne Street South Permanent address Same as current address Unit A Greenwich, CT 06831
Home tel. number none Mobile tel. number +1 2036218003
(incl. country code) (incl. country code) Emergency contact’s Stacey Brazier- mother Emergency contact’s +1 2032803600 name and relation to tel. number (incl. country code) you Please highlight in order of preference, from 1-4, which 1. Standard Tour Theatrino tour/s you are applying for. For those you 2. Sketches and Workshop Tour would not like to be considered for please write Not 3. Storytelling Tour Applicable. 4. Pop Music and Culture Tour – not applicable Do you hold an No; currently in process of Passport number EU/UK passport or obtaining passport. Issuing Country work visa? Expiry date (please specify and (dd/mm/yyyy) include a copy) Do you hold a full, clean driver’s Yes If yes, do you drive manual, automatic Manual license? or both? Expiry date Are you happy to Yes! (dd/mm/yyyy) drive in Italy? National Insurance or Social Security number 595-75-7544 Can you speak 0 Do you smoke? no Italian? (rate 0-10) (yes / socially / no) Do you have a No If accepted, you will be required to yes criminal record? personally obtain a criminal record check and provide us with the certificate. Please answer ‘yes’ to confirm you would be able to arrange (please specify) this. Are you applying No Would you accept Yes with a friend? the job without them? Have you worked for No Have you applied to No ACLE previously? work with ACLE (please specify) before? (please specify) Do you have any No Between what dates Start 01/01/2018 medical problems are you able to (dd/mm/yyyy) that could affect work? End 31/12/2018 your performance? (please be specific) (dd/mm/yyyy)
Have you Yes; List any
had any experience formal with training? children.
List any List any
experience experience in Theatre running in workshops. Education. Have you travelled No (currently in process of Describe yourself in and worked abroad obtaining passport) three words. before? (please specify) What strengths What are your main could you bring to weaknesses? this job?
Explain how you What interests you
would cope living, most about this job? working, socialising and travelling with your group. Do you play any All models of saxophone- Are you a confident Yes musical intermediate singer? instruments? How did you hear Referred by friend and fellow artist about this position? Margot Bergeron, who recently (please specify and rate ability) worked with ACLE. (please specify) Remember to include the required materials, specified above, alongside this application form. I certify that all of the above information is true and correct. Signature: Abigail Brazier Date: 03/10/2017 (dd/mm/yyyy)