Application Form PHT Creative Hub Co-operative ApplicationYour application Once you have completed and submitted your application, it will be reviewed by the PHT team. You'll be contacted directly with feedback and/or to set up an interview about membership in the PHT Creative Hub Co-op. About youDate of application Name *Company Name (if applicable) Phone number Email address *Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweWhat is your artistic discipline? TheatreDanceMusicOtherWhat type of Co-op membership are you applying for? *If applying for Active Membership, please tell us about your project idea in the next section. If applying for Contributing Membership, please skip the next section. If you don't have questions or comments, you're ready to "submit".ActiveContributing About your project (Active Memberships only)What do you plan on doing? (Max 200 words) Workshop? Rehearsals? Creative development? Live or online performance? Tell us about the project you'd like to work on at PHT.When do you plan on doing it? (Max 100 words) What's your estimated timeline?How do you plan on financing it? How does PHT fit into this plan? (Max 200 words) Is it feasible? Questions or comments?Please let us know if you have any questions or comments. Having difficulties with this online application? If you're experiencing difficulties with this online application form, simply email your answers to Doris at marketing@phtheatre.org.Thank you! We'll be in touch soon. Please enter any two digitsExample: 12This box is for spam protection - please leave it blank:
