Application Form
Nancy Stark Smith January Workshop 2011

Thank you for your interest in the NSS January Workshop 2011!

To apply, fill in application below and press "Submit application" button. Then, make the $160 Deposit by clicking on the "Deposit…" button or mail your deposit in by post. (See details for the postal mailing option on workshop description page.)

Early Registration Date: October 15, 2010
Applications must be approved by Nancy before registration is confirmed. (If not approved, or if you do not get in from the wait list, your deposit will be refunded, minus a $7 fee.)
Tuition balance is due by: December 3, 2010

Application Form

first name

last name

street

city

state

zip

country

phone (between now and Jan. 3)

cell phone

email

retype your email

age
gender

photo (with your face clearly visible)

When and where you've worked with Nancy before

Description of your previous experience and skill level with contact improvisation, dance, performance, and improvisation. Please be specific about the CI teachers you’ve worked with, # of years of practice, and situations (college class, workshop, festival, jam) and the duration of the classes/workshops.


If you would like to send a CV, please send it to: januaryworkshop@nancystarksmith.com

More about you and CI: What areas are your strengths in CI? What areas challenge you the most? What overall level of contact improvisor do you consider yourself to be? (beginner, advanced beginner, intermediate, advanced)

Your reasons for wanting to attend the workshop and your current areas of interest in the work:

a. Your specific interest in working with performance/public sharing of the work.

b. Your current areas of interest.

c. What aspects of Nancy's (& Mike's) work are you most interested in "continuing" and developing?
Language:  The course will be taught in English. Moderate fluency in English is required. Please indicate you English level
Other languages you speak ?     

Name of two References and their e-mail:
Please ask your references to write about you: your CI, dance, performance and improvisation experience; and your participation in groups (e.g., self-responsibility, sensitivity to others, cooperation in the group, etc.). Please make sure information is specific and is from recent interaction. References should be emailed to Nancy: januaryworkshop@nancystarksmith.com
Name Email
(fill in "---" if you don't
have their email address)
Name Email

(people who know you and your experience level in contact improvisation, dance, and other improvisational dance work)

Transportation:
How will you be traveling ?

Please drive, if possible. We will need vehicles for carpooling to town workshop sites, so please bring your car if you can. Thank you!

Driving? Getting a ride? Flying? Other? :

If flying, what city will you fly into? :

Contact: Patrick Crowley, Workshop coordinator, with any questions. januaryworkshop@nancystarksmith.com; (617) 320-9792