Creative and Performing Arts Program
Churchill High School
8900 Newburgh Road
Livonia, MI 48150
Name ____________________________________ Phone number ( ) _____________________
Address ____________________________________City _____________Zip Code___________
E~Mail Address of student: _____________________________________________________
E~mail address of parent/guardian: _____________________________________________
Present Grade Level ______ Date of Birth ____________
Student Number (if you have one) _________________
Parent/Guardian Name _________________________ Phone ( ) ________________________
Present School of Enrollment ________________________________________________
What high school are you scheduled to attend? (circle one) Churchill Franklin Stevenson
Area of Specialization/Interest (please check one)
Describe briefly your background in your area of interest: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Write a brief paragraph explaining why you want to participate in the CAPA program:
Recommendations: Please attach one letter of recommendation from present or former teachers (public or private) within your area of specialization
Statement of Commitment: It is understood that participants in the CAPA program must be willing to participate in rehearsals, performances and productions.
Student Signature __________________________________________ Date ________________________
Please send your application to: Ms. Hillman, Director of CAPA CHS 8900 Newburgh Road Livonia, MI 48150 or e~mail your application to email@example.com
You will receive a phone call or e~mail to schedule an audition.
We look forward to meeting you!