1Contact2Reading Information3About You Name* First Last Are you a PGC Member?* Yes, I am a Full Member Yes, I am a Supporting or Student Yes, I have another type of membership that is not listed above No, but I would like to join Your Email Address* Enter Email Confirm Email Your Phone NumberDo you have a date and a Reading Host set up already?* Yes Almost No, I would like to work with PGC to find a Reading Host If you are asking PGC to find a host, your reading funding cannot be guaranteed until a host is found. If a host is not found in time, the playwright will not receive funding. Do you have an online platform or venue idea for your reading?*Please share the name and address of any venues you have in mind. If the venue and organization are different, please add both here and specify which is the host organization and which is the venue.What is the date of your proposed reading?*If you don't have a date yet, please just add in a time frame that you are hoping for. Please provide a contact name, phone number, and email address for your potential or proposed Host.The hosts that we have connected with in the past are Playwrights' Development Centres, Publishers, Libraries, Schools, Theatres, Festivals, etc.Have you worked with this Host in the past?* Yes No N/A The Host I am working with is aware that there is a $50 Host/Admin fee.* Yes No N/A Do you have a specific piece of work that you would like to read? If so, please explain why you want to market this play in the Readings Program.Please explain the intended audience and how this opportunity will be used to connect you with that audience.Please provide any social media handles or information that you would like PGC to use in promoting your potential reading.Add a tagline, synopsis, or teaser for your play.Are there any other activities connected to this reading?*For example: Are you travelling at the same time and are your travels for personal or business reasons? Are you attending a conference at the same time? Are you seeing a production of your show at the same time? Are there any other funding streams expected for this reading?For example: Will you receive additional government funding for travel costs? I am aware that submitting this form does not guarantee me a spot in the PlayConnect Reading Program.* Yes, I agree and understand. IdentificationThe following questions will help to provide a larger picture of who is using the PlayConnect program and what voices are being shared through this initiative. If you don't want to answer these questions, we understand! You may also skip the "yes" or "no" questions and instead make a comment below on how you identify as a storyteller. Do you self-identify as an indigenous person? Yes No Do you self-identify as a person of colour? Yes No Do you self-identify as LGBTQQIP2SA+? Yes No Do you self-identify as a person who is Deaf, Mad, or Disabled? Yes No Are you over the age of 55? Yes No Comments on how you self-identify?Please feel free to elaborate on your self-identification or explain if you feel your answer is more than a "yes" or "no". Share Twitter Facebook LinkedIn
