Response Reimbursement and Recommendation Form

REIMBURSEMENT
AND
RECOMMENDATION
FORM

Respondent - Recommendation Form

Respondent Information

Respondent First Name

Respondent Last Name

Respondent's Institution

Respondent's Address

Street Address

Apt, Suite, etc.

City

State/Province

Zip/Postal

Respondent's Office Phone

Respondent's Home Phone

Respondent's Email

Valid Email

Confirm Respondent's Email

Confirm Email

Personal Car Miles

x $0.33/mile =

Car Reimbursement

AND/OR

Other authorized transportation (train, plane, tolls) +

Other Reimbursement

Production Details

Production Title *

Producing Institution *

Opening Night *

Use the following format - dd/mm/yyyy.

Date Seen *

Use the following format - dd/mm/yyyy.

Production State

KCACTF Sponsorship Billing In Program? *

Running Time, Including Intermission *

House Capacity

Director's Name *

Student Director?

Director's Email

Dramaturg's Name

Student Dramaturg?

Is this a musical?

School Representative Email

Note: The email of the person at the institution who should receive this report. Probably the director, but may be the department chair or other person. If you are not sure, ask the school.

Particpating or Associate? *

Did the host college arrange for a post-show talk, according to KCACTF standard practice, and was sufficient time for the response provided, with most of the company in attendance? *

If no, please explain what was not included and why, as well as any alternate response feedback planned (including emails, followup, phone calls, etc.)

Scenic Designer

Is this a student scenic designer?

Costume Designer

Is this a student costume designer?

Lighting Designer

Is this a student lighting designer?

Sound Designer

Is this a student sound designer?

Technical Director

Is this a student technical director?

Props Designer/Coordinator

Is this a student props designer/coordinator?

Stage Manager

Is this a student stage manager?

Other Key Personnel

Nominations and Recommendations

Irene Ryan Acting Scholarship Nominations: The director may nominate only one (1) candidate, and that nomination must be made at the time of the KCACTF response. FOR ASSOCIATE PRODUCTIONS, ONLY ONE (1) additional nomination MAY be made by the respondent. For PARTICIPATING PRODUCTIONS, two (2) additional nominations MAY be made, one by each respondent. Ryan decisions should be made before the respondent(s) leave campus. Include all names on this form. All candidates must be bona fide college students (as defined on the Kennedy Center website, https://www.kennedy-center.org/education/opportunities-for-artists/pre-professional-artist-training/kcactf/performance/ryans/) at the time the show is seen by the respondents. Faculty members in the department must be able to verify their bona fide student standing.

Ryan Nominee 1

Ryan Nominee 2

For participating productions only:

Ryan Nominee 3

For associate entries only: recommended for Celebration of Associate Productions. (required) *

Please communicate with director of production prior to recommending.

Suggested Recommended Scene/Selection & notes of explanation:

For entries: recommended for Festival Costume Parade? (required) *

Suggested Recommended costumes and notes of explanation:

For all entries with student director: recommended for Ten-Minute Play Festival?

Certificate of Merit Nomination

Throughout each festival season, respondents to both associate and participating productions have the opportunity to honor truly exceptional production contributions worthy of special recognition by awarding Certificates of Merit to individual artists, and/or ensembles (both student and faculty). All production elements are eligible for consideration, including: design, stage management, technology, performance, directing, dramaturgy, etc. Respondents may identify Certificate of Merit awardees on this production response form, which must be submitted within 2 weeks after seeing a production. Certificates of Merit will be made available to the producing schools at the Regional Festival registration desk.

Select Element 1 nominated for from this drop-down menu: Select Element 1 nominated for from this drop-down menu:

Name(s) of Certificate Nominee(s) 1:

BRIEF Notes of Explanation for this Certificate of Merit 1

Select Element 2 nominated for from this drop-down menu: Select Element 2 nominated for from this drop-down menu:

Name(s) of Certificate Nominee(s) 2:

BRIEF Notes of Explanation for this Certificate of Merit 2

Select Element 3 nominated for from this drop-down menu: Select Element 3 nominated for from this drop-down menu:

Name(s) of Certificate Nominee(s) 3:

BRIEF Notes of Explanation for this Certificate of Merit 3

Select Element 4 nominated for from this drop-down menu: Select Element 4 nominated for from this drop-down menu:

Name(s) of Certificate Nominee(s) 4:

BRIEF Notes of Explanation for this Certificate of Merit 4

Select Element 5 nominated for from this drop-down menu: Select Element 5 nominated for from this drop-down menu:

Name(s) of Certificate Nominee(s) 5:

BRIEF Notes of Explanation for this Certificate of Merit 5

Select Element 6 nominated for from this drop-down menu: Select Element 6 nominated for from this drop-down menu:

Name(s) of Certificate Nominee(s) 6:

BRIEF Notes of Explanation for this Certificate of Merit 6

If you are human, leave this field blank.

Respondent Information

Production Details

Nominations and Recommendations

Certificate of Merit Nomination

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