San Jose State University
Department of
Television, Radio, Film and Theatre
 
Fellowship
Culley's Office
Stage Manager Fellowship
Program of Study

Name _________________________________________
SS# _____ - ____ - ___________
Major ______________________
Phone(day)_________________Phone(eve)______________
Address _____________________________________________
___________________________________ ZIP _____________

Course or Assignmen Date Completed Grade
TA 51A (Scenery) __________ _____
TA 51B (Costume) __________ _____
TA 51C (Stage Management) __________ _____
Dr 116 (Directing) __________ _____
Dr 168 (Stage Manager Intensive) __________ _____
TA 198 (Internship) __________ _____

Free 3.0 unit substitute __________ for _______________
Free 3.0 unit substitute __________ for _______________ Internship Site ____________________________________
Production Duty

Junior SM or ASM _______________ _____________
Junior SM or ASM _______________ _____________
Senior SM _______________ _____________
Senior AD _______________ _____________