Wufoo

Name First Last
Date of birth MM / DD / YYYY
You must turn 18 by September 1, 2014 in order to participate
Why are you interested in joining the Youth Media Team?
Being a part of the Youth Media Team will require a committment of about 7-10 hours per month, including monthly online meetings, weekly or bi-weekly check-ins with a mentor, and the responsibility to create and promote pieces to be shared online. Are you able to commit to the requirements of the program?
Yes, if chosen, I will fulfill these requirements I may not have the time but would like to be considered anyway.
In what areas of media are you primarily interested? Please check up to two.
Writing (blogs, op-eds, letters to editor) Media spokesperson (making speeches and videos) Visual media (creating memes, infographics, and other visual communication pieces)
Previous experience

Please describe your previous experience, if any, with writing, art, or video; with journalism, blogging, or other media work; or any other experience that might be relevant.
Please attach a writing, video, or visual media sample

Please include a writing, video, or visual media sample. Written samples should be 300-500 words. Videos should be fewer than 4 minutes. If you don't have a sample, you may upload the bio form you were required to complete as a part of Urban Retreat registration.
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