male
female
First Name
Last Name
Maiden Name
Stage Name (or other name used in the past)
Your
birthday is:
Year (if you'd like)
Home
address:
Street
address 1
Street address 2
City
State
Zip
Country
Phone
Fax
Email
Cell phone
Work
address or other address:
Street
address 1
Street address 2
City
State
Zip
Country
Phone
Fax
Email
other cell phone
Please
star (*) the preferred address, phone, email, or fax that you
would like us to reach you at.
Would
you like to share the name of your significant other?
Please
list all past involvement with the Brave New Workshop (including
role such as actor, director, tech, etc.):
Show
Year
Role
Location
Show
Year
Role
Location
Show
Year
Role
Location
Show
Year
Role
Location
Show
Year
Role
Location
Show
Year
Role
Location
Do
you have any stories you would like to share:
Current
Occupation
Any
other information you'd like to offer, such as other alumni whereabouts?
If
you would like to be contacted by the BNW/BNI, what is the most
convenient way to reach you?
Do
you have a photo of yourself or photos from your days at the BNW?
Please email, as attachments, an updated resume and photo if you'd
like to jenni@bravenewworkshop.com
(or you can also mail them to us at the BNI, 2605 Hennepin Avenue
South, Minneapolis, MN 55408)
Do
you have a web site you would like to link to BNW? If so, what
is the URL?
If you have other questions about the BNW web site, please contact
Dawn Hopkins at dawn@bravenewworkshop.com
