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12
11
10
9
Middle School
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Newspaper/Online Newspaper
Yearbook
Photo
Broadcast
Newsmag
Radio
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1
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5 or more
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Student Name
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School
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Student Phone Number
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Home Address
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Student Email Address
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Adviser Name
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Adviser Email Address
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School Phone Number
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Grade going into next year
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What publication(s) staff is the student on?
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How many years has the student been on a publication staff?
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(adviser) Why are you nominating this student for a summer workshop scholarship? -or- (student) Write about the impact high school journalism has on you and how you would use a scholarship.
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Anything else we should know?
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