Internship Form

Step 1 of 7

Step 1 (Questions 1–10)

Usher’s New Look Spark Club: Live Entertainment & Production

Spark Club is a cohort-based program for Atlanta-area youth ages 14–17 who are interested in exploring careers in entertainment and live production.

Sessions take place on Tuesdays and Thursdays from 5:00–7:00 p.m.

Space is limited, and consistent attendance and active participation are expected.

1. APPLICANT & SCHOOL INFORMATION

1. Applicant’s full legal name *

2. Preferred name

3. Applicant’s mobile phone number *

4. Applicant’s email address *

5. Date of birth *

6. Age *

14 15 16 17

7. Home address, city, state, and ZIP code *

8. What high school do you currently attend? *

9. Current grade level *

9th grade 10th grade 11th grade 12th grade

10. Expected graduation year *

Step 2 (Questions 11–14)

2. PARENT/GUARDIAN INFORMATION

11. Parent or legal guardian’s full name *

12. Parent or legal guardian’s phone number *

13. Parent or legal guardian’s email address *

14. Relationship to applicant *

Mother Father Grandparent Aunt/Uncle Legal guardian Other

Step 3 (Questions 15–20)

3. ATTENDANCE & TRANSPORTATION

15. Can you commit to attending Spark Club every Tuesday and Thursday from 5:00–7:00 p.m.? *

Yes No Unsure

16. How do you plan to travel to and from Spark Club sessions? *

Parent/guardian transportation Personal vehicle Public transportation Rideshare School or partner transportation Other

17. Do you have reliable transportation for every session? *

Yes No Unsure

18. What transportation support might you need to participate consistently?

Shown only when Question 17 is No or Unsure.

19. Please list any employment, school, extracurricular, family, or other commitments that may affect your attendance.

20. Do any of those commitments conflict with Tuesdays and Thursdays from 5:00–7:00 p.m.? *

No Yes Unsure

Step 4 (Questions 21–23)

4. INDUSTRY INTERESTS & EXPERIENCE

21. Which areas of live entertainment and production would you most like to explore? *

Security and venue safety Glam, hair, and makeup Special effects makeup Ambiance and guest experience Wardrobe Camera operations Tour management Catering and meals Merchandising Sound and audio Graphic design and creative Lighting and visual production Stage and show production Production management Artist relations Marketing and social media Other

Select up to five.

22. Have you previously participated in live entertainment, event production, concerts, theater, film, television, or a similar program? *

Yes No

23. Briefly describe your previous experience and responsibilities.

Shown only when Question 22 is Yes. Maximum 500 characters.

Step 5 (Questions 24–25)

5. VIDEO RESPONSE

Video Prompt

Why do you want to be involved in live entertainment and production, what in the industry sparks your interest, and why?

Please record a 1–3 minute video and upload it to YouTube as Unlisted. Do not set the video to Private. Paste the shareable link below and confirm that anyone with the link can view it. No professional editing is required; we want to hear directly from you.

24. Paste the link to your unlisted YouTube video. *

25. Video visibility confirmation *

I confirm that my video is set to Unlisted and can be viewed by anyone with the link.

Step 6 (Questions 26–28)

6. ADDITIONAL INFORMATION

26. Do you have any accessibility needs or accommodations that would help you participate fully?

27. How did you hear about Spark Club? *

School Teacher or counselor Parent or guardian Friend Social media Usher’s New Look website Boys & Girls Club Community organization Previous UNL program Other

28. Have you previously participated in an Usher’s New Look program? *

Yes No

Previous Usher’s New Look program name and year

Shown only when Question 28 is Yes.

Step 7 (Questions 29–30)

7. ACKNOWLEDGMENTS

29. Applicant acknowledgment *

I understand that Spark Club requires consistent attendance, active participation, respectful conduct, and communication with program staff.

30. Parent/guardian authorization *

Electronic signature: I give permission for my child to apply to and, if selected, participate in Spark Club. I understand that additional enrollment and consent forms may be required after selection.