Fox Foundation Resident Actor Fellowships

Online Registration Form

Actors can apply with only one theatre per round. Theatres can apply with only one actor in one category per round. Actors who are recipients of a previous Fox Fellowship and the Fox Foundation Resident Actor Fellowship are not eligible to re-apply.

DEADLINE: June 27, 2012 at 11:59PM EST (*required)

Actor:

*Legal First Name:
*Legal Last Name:
*Address (line 1):
Address (line 2):
*City:
*State:
*Zip Code:
*Home Phone:
Cell Phone (If different):
*Email:
Website (Optional):

*Category:

Extraordinary Potential Distinguished Achievement

Host Theatre- limited to TCG member theatres. See guidelines for details.

Host Theatre:

*Name of Theatre:
*TheatrePhone:
*Theatre Tax ID:
*Application Contact First Name:
*Application Contact Last Name:
*Application Contact Title:
*Application Contact Email:

Project Summary (not to exceed 25 words or 150 characters) - Provide a brief summary of your proposed project/collaboration.

(Maximum characters: 200)
You have characters left.

Please note that all correspondence pertaining to this application will be directed to the actor and the application contact at the email addresses/ phone numbers listed on this online registration form. It is the applicant's responsibility to notify Jessica Lewis (jlewis@tcg.org) if this contact information changes.

A confirmation email will be sent to the Actor and the Host Theatre Application Contact. Please keep the confirmation e-mail for your files. If you do not receive a confirmation e-mail, your registration has not been processed. If you do not receive a confirmation e-mail, please contact Jessica Lewis immediately.