Biographical Information Entry Form
[ver 0.2se]
Stage Managers Legacy Project
Please enter as much information as is available.
Fields with * are required.
*Last name (include suffix):
*First name:
Middle name:
Nickname:
*Gender-
female
male
non-binary
Race- American Indian/Alaska Native
Asian
Black
Native Hawaiian/Other Pacific Islander
White
Stage/Credit name:
Period of activity- Begin year:
End year:
Phone numbers
Mobile:
(e.g. 123-123-1234) Home:
(e.g. 123-123-1234)
Work:
(e.g. 123-123-1234x34)
Home Address
Address1:
(e.g. 2354 Walnut Street) Address2:
(e.g. Apt./Floor #B7)
City:
State:
Zipcode:
Work Address
Company name:
Title:
Address1:
(e.g. 2354 N. Commerce Street) Address2:
(e.g. Floor/Suite #107)
City:
State:
Zipcode:
Email Addresses
*Email address #1:
Email address #2:
Email work:
Website:
Biographical
Birth date (mm-dd-yyyy):
Birth place-
City:
State:
Country:
Have you had any formal stage management training?
Institution
Degree
Years
Father
-
First name:
Birth place-
City:
State:
Country:
Mother
-
First name:
Birth place-
City:
State:
Country:
Spouse
-
Gender-
female
male
non-binary
Last name:
First name:
Birth place-
City:
State:
Country:
