This form is to request an audition/interview for one or more of the Fine Arts and Mass Communication departments at Butler Community College.
Students interested in scholarships in Art, Dance Team, Mass Communications (Radio/TV/Newspaper/Magazine/Sports Media), Music (Vocal or Instrumental), or Theatre (Performance or Technical) should complete this form and select a desired audition date.

Students interested in attending Butler for the Fall of 2014 are expected to audition on either Saturday, February 1st or Friday, March 7th.Upon completion, a member of the Butler staff will contact you to confirm your selection as well as answer other questions.  

For additional information, including faculty phone numbers and email addresses or information on how to prepare for your audition/interview, please visit: http://www.butlercc.edu/fine_arts/scholarships.cfm and select the link titled "Fine Arts and Mass Communications Scholarship Info Sheets."
Begin Application
 
First and Last Name *

(i.e. Billy Johnson)
 
Full Mailing Address *

(Street, City, State, Zip)
We will use this to mail audition information; please check that it is accurate!
 
Home Phone Number:

i.e. (316)322-3325
 
Cell Phone Number:

i.e. (316)322-3325
 
Where did you go to High School and when did/will you graduate? *

i.e. El Dorado High School, 2014
 
When would you like to audition/interview? *

Note: Art Portolios will only be judged on Friday, March 7th

 
Which area(s) are you interested in auditioning/interviewing for? *

Note: Select all that may apply; students may audition/interview for more than one area of interest

 
What instrument will you be using/playing for your audition?

Instruments are not provided for auditions.
 
Briefly provide any information relevant to your audition (i.e. preferred art medium, instrument(s) played, voice type, print journalism experience, dance background, favorite roles, etc.) *

Please use complete sentences.
 
Please provide a reference that can speak to your abilities. *

Please also list your relationship to the reference.
i.e. Gina Austin
(316)322-3325
She was my former theater director.
 
I certify that information contained in this application is true and complete.  I understand that false information may be grounds for not receiving an audition/interview, or for immediate termination of a scholarship at any point in the future if one is granted.  I authorize the verification of any or all information listed on this form.

Do you agree with these terms and conditions? *

     
Thank you for registering to attend a Fine Arts and Mass Communication audition/interview at Butler Community College. 

One of our faculty will contact you to confirm your selected date.  If you have additional questions about auditions/interviews, please visit http://www.butlercc.edu/fine_arts/scholarships.cfm for more information or contact Carol Renfro at crenfro@butlercc.edu
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