Residency Request Form Education Residency Inquiry Form Your Name* First Last Your Title/Role at this School/Institution Primary Onsite Contact Name (If not you) Email Address* Phone Number (include area code)*School/Institution Name Zip Code of School Select Your School TypeCPSCharterPrivateOtherSeason your would like to have residency?FallWinterSpringSummerPlease Choose if this is an In-School or After-School ResidencyIn SchoolAfterschoolDays | Times of the week you would like to have residency? Monday Tuesday Wednesday Thursday Friday Times of the day you would like to have residency? 8:00 - 9:00am 9:00 - 10:00am 10:00 - 11:00am 11:00 - 12:00pm 12:00 - 1:00pm 1:00 - 2:00pm 2:00 - 3:00pm 3:00 - 4:00pm 4:00 - 5:00pm Type of Residency your School/Institution is interested inROAR In-SchoolRed Kite In-School (for self-contained/cluster classrooms)ActingImprovDance/MovementMusical TheatreGrade(s) Number of Students Program is Intended for Number of classroom(s) program is intended for Please tell us why you are interested in bringing a CCT Residency to your studentsCAPTCHA
