FALL 2019 JRNOLA PROGRAM APPLICATION
Application form for participants for the Fall 2019 Program (beginning in September 2019)
Email address *
First Name *
Your answer
Last Name *
Your answer
Preferred Name
Your answer
Email address (Gmail if you have it) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
What grade level will you be entering in the Fall of 2019? *
School Attending in the Fall of 2019 *
Your answer
Faculty or School Sponsor: Name *
Your answer
Faculty or School Sponsor: Phone *
Your answer
Faculty or School Sponsor: Email *
Your answer
Do you have any allergies? We may have snacks periodically, and need to know if anything is off-limits (though personal discretion is best for dietary concerns) *
Hours in the newsroom vary depending on student availability. Which days of the week are you available? We usually meet from 5-7:30 PM. *
Required
How will you get to the program?
Do you have access to a computer and the internet when not in the newsroom?
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