Application - New Orleans Junior Journalism Program

Name(required)

Email(required)

Phone Number(required)

DOB(required)

Grade Level(required)

Gender(required)

Parent/Guardian Name(required)

Relationship(required)

Guardian Email(required)

Guardian Phone Number(required)

School Attending(required)

School Sponsor

School Sponsor Email

School Sponsor Phone #

Availability(required) Monday

Tuesday

Wednesday

Thursday

Friday

Do you have access to a computer and the internet?(required)

Have you participated in the past?(required)

If so, which event(s)?

Which discipline are you interested in?(required)

Areas of Interest (choose all that apply) News

Sports

Music & Entertainment

Arts & Culture

Politics

Culinary

LGBTQIA+ Topics

Social Justice

How did you hear about JRNOLA?

Do you have any allergies?

How will you get to the Newsroom?

In one paragraph, describe yourself and why you are interested in the Junior Journalism program(required)

Several of our funding sources require us to report the following information. JRNOLA will not discriminate against any person based on the basis of race, creed, color, national origin, marital status, gender orientation, or disability. Are you willing to share demographic information?(required) Yes

No

If yes, what is your race?

Are you eligible for free or reduced lunch? Yes

No

Who do you live with? Mom only

Dad only

Both parents

Step-parent

Grandparent

Aunt/Uncle

Foster parent(s)

Other

What is your approximate household income? $0-$24999

$25000-$49999

$50000-$74999

$75000-$99999

$100000+