The Dance Omi International Dance Collective
2012 Application
Dance Omi Application: Personal Information (Page 1 of 3)
THE DEADLINE TO SUBMIT APPLICATIONS IS FEBRUARY 1, 2012.
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First Name
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Last Name (Family Name)
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Name As It Should Appear For Publicity Purposes
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Country of Citizenship
Current Mailing Address
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Street
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City
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State or Province
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Postal Code
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Country
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Date Of Birth Month/Day/Year
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Telephone (Please Include Country Code)
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Genres of Dance (Improvisation, Ballet, Hip Hop, etc.)
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Email Address
Alternate Email Address
Personal Website Address (optional)
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Female
Male
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How did you hear about Dance Omi:
Omi website
Internet search
Email
Personal Recommendation From Friend or Previous Omi resident
Facebook
Other
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Indicates Response Required