Urban Journalism Workshop 2018 Application
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State of Residence *
Required
Zipcode *
Your answer
Home Phone *
If you don't have a home phone, enter "No Phone" into the field below then include the number of your parent or guardian.
Your answer
Mobile Phone *
If you don't have a mobile phone, enter "No Phone" into the field below then include the number of your parent or guardian.
Your answer
Email address *
If you don't have an email address, enter "No Email Address" into the field below then include the email address of your parent or guardian.
Your answer
Gender *
Ethnicity *
Age *
Name of High School *
Your answer
Name of Journalism or Newspaper Adviser *
Can include English, Creative Writing, Photography, or Audio and Visual Instructor.
Your answer
How did you find out about this workshop *
Media Interest *
Please rank in order of interest: (1st, 2nd, 3rd.) Print/Online, Radio, TV
Your answer
Write a 250-word autobiography. As an aspiring young journalist, tell us about yourself. Be sure to include any media-related work you’ve done, what you want to do, what’s important to you. *
Please complete the assignment. This needs to be your own work. Essays can be written here or in word and emailed to ujwdc@aol.com
Your answer
In 300 words, tell us why the First Amendment is important? *
Please complete the assignment. This needs to be your own work. Essays can be written here or in word and emailed to ujwdc@aol.com
Your answer
In 300 words, tell us why you want to be in this program. *
Please complete the assignment. This needs to be your own work. Essays can be written here or in word and emailed to ujwdc@aol.com
Your answer
Instructor, Teacher, and/or Administrator Recommendations *
Recommendations need to be completed by two (2) high school teachers (preferably English or high school newspaper advisers, though others are acceptable.). Please send recommendations in the form of email, or email with attachment, to ujwdc@aol.com. Email subject line should include name of student and year. Example - 2018 - recommendation for Student Name. You must submit recommendations in order for your application to be complete.
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