2017 ST. LOUIS STORYTELLING FESTIVAL (May 3-6, 2017)
PLEASE VERIFY OR UPDATE CONTACT INFORMATION ON FORM
(even if you think we already have this information)
NAME:
CURRENT ADDRESS: (Street Address (Apt. #)/City/Sate/Zip Code)
PHONE:Home:Work/Cell:
Fax:
E-mail:
Web-Site:
Name as it should appear in the brochure/programs:
Legal name as it should appear on check:
Federal ID/SSN#:
T-shirt Size:(available sizes—S, M, L, XL, XXL, XXXL)
Have you ever been employed at any University of Missouri campus—Columbia, Kansas City, Rolla, St.Louis? Please give time period: ______(excluding the St. Louis Storytelling Festival)
Do you have a preference on number of times you tell during the Festival? ______
Days/times available for telling:Monday:9-12 AM___1-4 PM___4-9 PM___
Tuesday:9-12 AM___1-4 PM___4-9 PM___
Wednesday:9-12 AM___1-4 PM___4-9 PM___
Thursday:9-12 AM___1-4 PM___4-9 PM___
Friday:9-12 AM___1-4 PM___ 4-9 PM ___
Saturday:9-12 AM___1-4 PM___
Age groups you prefer:
____children/youth (Grade levels : ______and/or Ages: ______)
____adults/senior citizens
Any age groups/grade levelsto whom you prefernot to tell? ______
(NOTE: We will assume you can tell preschool through senior citizen if not noted above.)
Will you bring sound equipment to your sessions if needed?____ Yes____No
Do you need housing? _____Yes ____NoAllergies? ___peanuts, ____ cats/pets, ____ other
(*NOTE: We will do our best to find housing/accommodation for storytellers outside the St. Louis metro region. However, we cannot guarantee that we can find you free housing/accommodation).
Brief biography (5 sentences) for use in introductions, promotional purposes, and website. Biography will be edited if too long. Feel free to attach or include separate pages, if necessary.
Story titles or themes for brochure and publicity. If you have special stories (i.e., ethnic stories, specific genres, topics, etc.), please let us know by listing here or including in a separate document/attachment. Also list appropriate ages groups for the stories you would tell at St. Louis Storytelling Festival, and give a brief synopsis of each title (use separate sheet if necessary).
Title/ThemeAppropriate for age/group levels
______
______
RETURN THIS FORM BY DECEMBER 5, 2016!! You must return this form by email, fax or regular mail to be considered for the 2017 St. Louis Storytelling Festival! If your plans change, please call us so alternative arrangements can be made! Any schedule changes should be emailed to Lisa Overholser, , phone/fax: 314-266-4833, (cell: 812-360-9271). You can also mail forms to:
Lisa Overholser
MU Extension, St. Louis Storytelling Festival Director
4207 Lindell Blvd., Ste. 400
St. Louis, MO 63108
REMEMBER, SUBMIT YOUR FORMS BY DEC. 5 TO BE CONSIDERED AS A 2017 ST. LOUIS STORYTELLING FESTIVAL REGIONAL TELLER!