APPLICATION FOR OMEGA PSI PHI TALENT HUNT

PLEASE TYPE OR PRINT

Date: 5/2/12_____________

Name of Contestant: Mary Lewis Age: 18____ Sex: female_______ Phone #: 404-396-2877________Home Address: 2304Horseshoe bend rd_ City: Marietta__ _State: GA Zip: 30064_____School: Marietta High School

Grade: 12th Talent Category: Dance Drama yes Music________________ Talent Selection: _Monolouge___Composer: _August Wilson__________ (Use back of application if necessary) Instrument (Piano, Harp, Voice (Tenor, Soprano, etc.): Will you need an accompanist? _____no_______________ (It is recommended that you provide your own and arrange prior to performance.) Career Plans: Going to college College/University: Augusta university ___________________________

Major: Theatre

********************************** NOTE*********************************** A COPY OF THE MUSIC (INCLUDING ACCOMPANIMENT AND/OR SOLO PARTS) OR ORAL PRESENTATION MUST ACCOMPANY THIS APPLICATION.

THIS APPLICATION AND COPIES OF THE SHEET MUSIC (OR ORAL PRESENTATION) SHOULD BE MAILED TO THE TALENT HUNT CHAIRMAN AT THE ADDRESS BELOW TO BE RECEIVED NO LATER THAN (May 4th, 2012). ***************************************************************************** Local Talent Hunt Chairman: David Carter Address: 2811Chapman Way Marietta, Ga. 30066 Name of Chapter: Chi Gamma Gamma Location: Marietta, Ga. Phone Number: 770-722-6509