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Journalism & Technology Academy
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  Journalism & Technology Academy is an extra-curricular learning program centered on providing youth and young adults with hands-on training in print journalism, photography, radio, and television production. Participants are taught the basic principles of news gathering, writing and editing. This program provides an excellent opportunity for youth to express their creativity and have their voices heard through the Art of Journalism.
Please complete the Journalism & Technology AcadaemyRegistration Form Below:

Personal Information
First Name* Last Name* Email*
Address City
Home Phone Cell Phone Alternate Phone
Date of Birth
Ethnic Background
Family Size in Household
Do You Have Any Dependents
How Many?
Do Receive Free Lunch at School?
High School City
Year of Graduation Passed HS Exit Exam? English Math GPA
List Clubs or other Extracurricular Activities
Is there anyone in your family who has graduated or is now attending a 4-year college/university?
If yes what is their relationship to you?
Emergency Parental/Contact Information
First Name Last Name Relationship
Address City State Zip
Home Phone Cell Phone Work Phone
Father's Highest Education Level Mother's Highest Education Level