2017 Atlanta Blaze Dancer Audition Application
All candidates must be 18 years of age by April 22, 2017 to be eligible to audition.
Full Name: ________________________________________
Address: ________________________________________
Phone: ________________________________________
Email: ________________________________________
DOB: ________________________________________
High School: ___________________________
Education
Address: ___________________________________
From: __________
Did you graduate
To: ____________
YES NO
College: ___________________________
Address: ___________________________________
From: __________
Did you graduate
To: ____________
YES NO Degree: ___________
References
Please list two professional references.
Full Name: _________________________________________________ Relationship: ______________
Company: __________________________________________________ Phone: ___________________
Address: _____________________________________________________________________________
_____________________________________________________________________________________
Full Name: _________________________________________________ Relationship: ______________
Company: __________________________________________________ Phone: ___________________
Address: _____________________________________________________________________________
_____________________________________________________________________________________
Current Employment
Company: _________________________________________________ Phone: ___________________
Address: __________________________________________________ Supervisor: ________________
Job Title: _________________________________________________
Responsibilities: ______________________________________________________________________
From: _____________________
May we contact your supervisor for a reference?
YES
NO
Dance Audition Information
Years of Dance/Cheerleading/Gymnastics Experience: _____________________________________
Current or Previous High School, Collegiate, or Professional Dance Team/Company
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Dance/Cheerleading/Gymnastics Awards/Honors
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Modeling Work:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Charity and Community Service Involvement:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview
may result in my release.
Signature: _________________________________________________ Date: _____________________
Applications will not be accepted before auditions.