Media Mentorship Interest Form

Media Mentorship projects give your students a chance to become the teacher and help their peers, families, or larger community learn what it takes to navigate today's information environment. 

Sign in to Google to save your progress. Learn more
I'm filling out this form to... *
Name *
Email *
Role/Title *
School/Organization *
City *
State *
Country *
Who is the intended audience for your Media Mentorship project? (If you're not sure, it's okay to say so). *
What format are you interested in?  *
When do you hope to do your project? (A general time, such as "spring 2025," is fine if you don't have a specific date or month in mind). *
OPTIONAL: What other details or questions would you like to share? 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UW.

Does this form look suspicious? Report