The Rosetta Lenoire Award Strives to Recognize Outstanding Artistic Contributions to The

2016 Rosetta LeNoire Award Submission Form

The Rosetta LeNoire Award strives to recognize outstanding artistic contributions to the universality of the human experience in American theatre.

Award Criterion:  Inherent in the award is acknowledgement that the recipient has an exemplary record in both the hiring of ethnic minorities (including female actors, actors with disabilities, and senior actors); and should have a working relationship (and a history) with Actors’ Equity Association.

Guidelines:  Nominations for the Rosetta LeNoire Award must be submitted in writing and must be accompanied by supporting documentation attesting to how the nominee fulfills the award criterion.

Deadline:  The deadline for the receipt of this form and all accompanying materials is Friday, February 12, 2016.

Submit Nomination Form, Support Documentation and Attachments to:

[email protected] (electronically)

Or mail hard copy to Actors’ Equity Association 557 West Randolph Street, Chicago, IL 60661 Rosetta LeNoire Award Nominations Attention: Luther Goins

For questions or more information about the Rosetta LeNoire Award, please contact:

Luther Goins, Business Representative, Chicago 312-641-0393 x 237 or by e-mail at [email protected]

Nominator Contact Information:

Address

City, State & Zip

Telephone

E-Mail

165 WEST 46 STREET NEW YORK NY 10036 TELEPHONE 212.869.8530 FAX 212.719.9815 WWW.ACTORSEQUITY.ORG 557 West Randolph Street Chicago IL 60661, 312.641.0393 5636 Tujunga Ave North Hollywood CA 91601, 323.978.8080 10319 Orangewood Boulevard Orlando FL 32821, 407.345.8600 I would like to nominate the following individual, theatre or producing organization for the 2016 Rosetta LeNoire Award:

(Name of Nominee)

Please answer the following questions; limit responses to no more than 250 words (If your response is over the 250 word limit, the balance of the words exceeding 250 shall be deleted.)

Please provide a narrative of the history/background of the nominee.

How does the nominee meet the criterion for the award?

165 WEST 46 STREET NEW YORK NY 10036 TELEPHONE 212.869.8530 FAX 212.719.9815 WWW.ACTORSEQUITY.ORG 557 West Randolph Street Chicago IL 60661, 312.641.0393 5636 Tujunga Ave North Hollywood CA 91601, 323.978.8080 10319 Orangewood Boulevard Orlando FL 32821, 407.345.8600

Relationship of nominator to the nominee

Nomination Support Documentation:

Please Note: All nominee supporting documentation and pertinent information (including the submission form) will be limited to ten pages.

Attach: (If applicable)  Biography/Resume of Nominee  Theatre/institution mission statement and Annual Report  Praiseworthy newspaper articles  Evidence of awards or recognition the nominee has received  Examples of casting and productions that fulfill said objective  Letter/s of support

165 WEST 46 STREET NEW YORK NY 10036 TELEPHONE 212.869.8530 FAX 212.719.9815 WWW.ACTORSEQUITY.ORG 557 West Randolph Street Chicago IL 60661, 312.641.0393 5636 Tujunga Ave North Hollywood CA 91601, 323.978.8080 10319 Orangewood Boulevard Orlando FL 32821, 407.345.8600