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Intercultural Media Project Summer 2024 Application

Please complete ALL sections of this application. Successful applicants will be asked to provide proof of identification. This form does not save progress. You will need to start from the beginning if you exit the form before submitting. The final deadline is July 15 at 11:59pm.

Name *

First

Last

Email *

This program features topics unsuitable for minors. Are you at least 18 years old? *

Date of birth (mm/dd/yyyy) *

What is your highest level of education? *

This program will include presentations on sensitive topics including human rights abuses, gender and race discrimination and social justice issues in different geographical regions. Briefly explain your interest in or awareness of these issues. *

This program invites participants from different cultures and backgrounds, some of whom may now, or in the past, face discrimination or marginalization. Briefly explain what social justice means to you and your community. *

This program will include analysis of mass media themes and news coverage of social justice issues. Briefly explain your understanding of the role of mass media in advancing social justice issues. *

I understand that this program limits participation to adults 18 years or older and that, if successful, I will be asked to provide age verification. TYPE FULL NAME TO ACCEPT. *