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Name *

Address *

Email *

Telephone (home)

Telephone (cell) *

Past usher experience (if applicable)

Name of institution(s) and dates

Referred by

Ability to ascend and descend 39 steps quickly *

Yes

No

Ability to stand independently for one hour continuously *

Yes

No

Accurate vision in dim lighting (in order to read tickets) *

Yes

No

Be able to hear and speak clearly in areas with significant background noise (in order to answer patron questions) *

Yes

No

How did you hear about us? *

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