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