Form : BROADWAY ACADEMY (M) Sdn Bhd File : Suite B-5-3, Level 5, Wisma Pantai, Plaza Pantai, 5 Jalan 4/83, 59200 Kuala Lumpur, MALAYSIA Tel : 03-77256275 Fax: 07-77256176 Website: www.broadwayacademy.asia BROADWAY ACADEMY PRODUCTIONS Cast Audition Application Form DREAMGIRLS Character / Role Applying For Voice Type Attach photograph here. Range Name (As in Identity Card) Identity Card Number Ethnicity Date of Birth Home Address Religion Height Mailing Address cm Weight kg Contact Number For Foreigners Only Home : Nationality: Work Passport Number: : Mobile : Expiry Date: Fax Work Permit Number: 1 : Age Gender Form : BROADWAY ACADEMY (M) Sdn Bhd Suite B-5-3, Level 5, Wisma Pantai, Plaza Pantai, 5 Jalan 4/83, 59200 Kuala Lumpur, MALAYSIA Tel : 03-77256275 Fax: 07-77256176 Website: www.broadwayacademy.asia Email Address Skype EPF Number MSN / YM SOCSO Number Acting / Music / Dance / Ordinary Education Background Highest Achievement : Year Institution Certificate Awarded Other Educational Background: Year Institution Certificate Awarded Current Employment Company / Organization / Institution : Position: Job Designation: Acting / Singing / Dancing Experiences (Past & Current Productions) Year Show Kindly attach a separate sheet of paper if this space isn’t enough. 2 Role File : Form : BROADWAY ACADEMY (M) Sdn Bhd File : Suite B-5-3, Level 5, Wisma Pantai, Plaza Pantai, 5 Jalan 4/83, 59200 Kuala Lumpur, MALAYSIA Tel : 03-77256275 Fax: 07-77256176 Website: www.broadwayacademy.asia Reference 1 Name: Company / Organization: Position: Email: Contact Number: Email: Reference 2 Name: Company / Organization: Position: Email: Contact Number: Questions Section YES 1. Can you read musical notations ? 2. Do you play a musical instrument ? If so please state: 3. Have you had any acting training before ? Theater Film Acrobats 4. Have you had any vocal training before ? Classical Pop Jazz Traditional Jazz Traditional 5. Have you had any dance training before ? Classical Latin Modern Contemporary 3 NO BROADWAY ACADEMY (M) Sdn Bhd Suite B-5-3, Level 5, Wisma Pantai, Plaza Pantai, 5 Jalan 4/83, 59200 Kuala Lumpur, MALAYSIA Tel : 03-77256275 Fax: 07-77256176 Website: www.broadwayacademy.asia 6. Do you have any extra skills or unique talents ? If so please state: 7. Have you had any serious injury to any parts of your body before ? If so please state: 8. Are you afraid of heights? 9. Are you a member of any actors / dancers / musicians union? If yes please state: Union: Position: Membership Number: 10. Are you currently a member of another production /musical group ? If yes please state: I hereby declare that all my information given on pages 1, 2, 3, 4 and other documents attached are true. I understand that a misinterpretation or omission of facts call herein will be sufficient cause for cancellation of consideration of engagement or dismissal from the company service if I have been engaged. I hereby give my consent to the company to investigate all information contained in the forms and other documents attached. …………………………………………………….. ( ) I/C No: Date: 4 Form : File : BROADWAY ACADEMY (M) Sdn Bhd Suite B-5-3, Level 5, Wisma Pantai, Plaza Pantai, 5 Jalan 4/83, 59200 Kuala Lumpur, MALAYSIA Tel : 03-77256275 Fax: 07-77256176 Website: www.broadwayacademy.asia Form : File : Attachment Checklist: 1. 2 most recent passport size photos. 2. 2 copies of most recent headshots of 10 inches by 8 inches, black and white. 3. 1 copy of identity card. 4. 1 copy of passport (for foreigners only) 5. Resume / C.V. 6. Other certificates or documents Mail all documents and application forms by POS LAJU to: Broadway Academy Productions Audition Panel BROADWAY ACADEMY (M) Sdn Bhd Suite B-5-3, Level 5, Wisma Pantai, Plaza Pantai, 5 Jalan 4/83, 59200 Kuala Lumpur, MALAYSIA Kindly email all enquiries to the audition panel at Info@broadwayacademy.asia OR Call us to book an audition slot Tel : 03-77256175 Fax: 03-77256176 Email: auditions@broadwayacademy.asia 5