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Programs
Open Sub Menu
Programs Overview
Central Wisconsin High School Leadership
Civic Leadership Awards and Scholarships
Hmong and Hispanic Communication Network (H2N)
R2N – The Rural Resiliency Network
Public Dialogue
Public Lectures & Forums
New Neighbors Series
Student Journalism
Veninga Lecture on Religion & Society
Washington Seminar
Navigator Program
Get Involved
Research Partners
Open Sub Menu
Research Partners Overview
About Us
Clients and Success Stories
Contact Us
Events
News & Updates
About
Open Sub Menu
About
Values
Staff
Board
Fellows
Civic Center
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Student Journalism Application
Student Journalism Program Application
General Information
First Name
*
Last Name
*
Birth Date
*
Email
*
Phone (cell)
*
Phone (home or other)
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
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California
Colorado
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Northern Mariana Islands
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Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Name of School
*
Year In School
*
Freshman
Sophomore
Junior
Senior
Student Essay
Why would you like to become a student journalist?
*
Emergency Contact Information
Name of Contact
*
Relationship to You
*
Primary Phone
*
Emergency Contact Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Voluntary Demographic Information
Gender
---
Male
Female
What is your race?
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
How did you hear about the program?
