Your Name * Your Email Address * I understand that by submitting this request I am taking responsibility for coordinating the details of this guest artist residency should the request be approved. * Yes Your Affiliation with the Department of Theatre * - Select -FacultyStaffGraduate StudentUndergraduate Student Name of the Guest Artist Proposed dates of residency Provide a brief rationale describing the benefit to the Department of Theatre Briefly describe the proposed programming for the guest artist's residency What student population(s) will benefit from this residency? List any other departments, student organizations or community organizations that might benefit from this residency What courses could be connected to this visit (include course number, course title, name of instructor and signature of instructors supporting the residency's use of their class meeting time) Has the guest artist been contacted about the possibility of coming to The Ohio State University? Yes No What is the estimated cost of this residency? $ .00 Breakdown of Estimated Cost CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.