Shift23 Summer Education Series Application
Questions? Contact us at shift23media@gmail.com or visit us at shift23media.com.
Email address *
First Name *
Last Name *
Pronouns (this is only so we can affirm what you use!)
How did you hear about us?
Clear selection
Where can we best contact you? (Email, Phone, etc.) *
What age group would you best fit under? *
Is there any part of your identity you would like us to know?
What are you most interested in learning with us? *
List 10 songs to describe yourself:
How can we provide accommodations to you to make our classroom the most accessible for you?
Clear selection
Please select all courses you are interesting in taking. Note: Some courses repeat in August, but there is no difference between each session. *
Required
If applying for Shooting Film, the one course with a materials fee, would you like to be considered for a scholarship? *
If you are in a place to do so, would you be interested in sponsoring a student in need of a scholarship through a donation? (We will contact you based on what you provided on this form) *
Submit
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