Sign up for the National Women’s Editorial Forum Training weekend!

"Ready for Prime Time"

Deadline for submissions:

December 1, 2010


Training Fee: $250.00

*For more information about available need-based scholarships contact
forum@mediaforum.org

First Name:
Last Name:
Title:
Organization:
Address:
City:
State:	AANationalAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip:
Phone:
Fax:
Email:
Student:
Please tell us about your goals for participation in the opinion sector of the media.
1. How did you hear about the training? (Limit: 100 words)
2. How do you expect that this training will enhance your role within your organization or the cause for which you advocate? (Limit: 250 words)
3. Please tell us what specific media forms you are interested in (blogging, radio, TV, print, etc.). (Limit: 100 words.)
4. If you are applying as an individual, please tell us about the causes for which you hope to advocate through the commentary continuum, and your reasons for doing so. (Limit: 250 words)
5. Please describe any experience you have had to date working with or within the media.
6. Your resume: please attach.
Please let us know if you would like to be part of our data base for reporters and journalists:
	Yes, I would like to be listed in The Source data base of women.