|
| |
 |
| |
|
First
|
Last
|
| |
 |
| |
|
|
| |
 |
 |
|
Mailing Address
|
| |
|
City
|
State
|
Zip
|
| |
|
Home Phone
|
Cell Phone
|
Email Address
|
| |
 |
| |
Please note that
you must have the full support from your adviser in order to be eligible
to apply. They must be willing to support transportation, permission slips,
waivers, and other special requirements that may be necessary in order
to fulfill your duties, should you be selected.
In addition, the selected student must be a registered attendee for
the conference.
Check here to affirm that you have discussed this opportunity with your
adviser and they have agreed to endorse you.
|
| |
|
School Name
|
Adviser Name
|
| |
|
Adviser School Phone
|
Adviser Home/Cell Phone
|
Adviser Email Address
|
| |
 |
| |
|
Organization Membership:
| School Year:
|
GPA:
|
|
| |
 |
| |
|
Please list any state or national conferences you have previously attended:
|
| |
|
Please list and explain any relevant job
experience:
|
| |
|
Please indicate any events that you will
be participating or competing in at this conference:
|
|
|
Please rank your experience
and expertise in each of the following areas (1=no experience, 5=expert): |
1 |
2 |
3 |
4 |
5 |
|
|
|
|
|
|
|
|
|
|
Lighting |
|
|
|
|
|
|
|
|
Stage Design |
|
|
|
|
|
|
|
|
Video Editing |
|
|
|
|
|
|
|
|
Stage Directing |
|
|
|
|
|
|
|
|
Studio Cameras |
|
|
|
|
|
|
|
|
Motion Graphics |
|
|
|
|
|
|
|
|
Still Graphic Design |
|
|
|
|
|
|
|
|
Audio Production |
|
| |
|
What do you hope to gain through this internship opportunity and how does
it relate to your career goals:
|
| |
|
Final thoughts? If you have an online resume or portfolio, please include
its address here. (optional)
|
| |
|
| |
|