Application - Media Arts Center San Diego

Application

TPP General On-line Student Application Form

Already Registered? Click here to autofill this form

Student: Please fill out and answer all the questions below.

* required information

TPP Student Application Form
TPP Student Application Forms
First Name:*
Last Name:*
School:
Grade:
Student Parent/ Guardian:
Address Line 1:
Address Line 2:
City:
State:
ZIP/Postal Code:
Email:
Phone:
Cell Phone:
Alternate Phone:
Birth Date:	(mm/dd/yyyy)
Gender:	Female Male
1. Why are you interested in participating in this project? What excites you most about being a part of it?:
2. What computer or video experience do you have? (List the programs you know how to use and tell us what you use them for).:
3. Please describe yourself: Your background (history/culture), interests, and/or what's important to you (issues/people).:
4. Do you think you might have any challenges in being able to participate in this program? (i.e.: sports or transportation).:
5. What's important or inspirational to you? (i.e.: issues, people, places):
Upload Photo of Yourself ((72 dpi, jpeg, 215 wide x 151 high pixels, RGB):	Click here to attach file
Vlog Video Website Address:
Create Username and Password
Username:*
Password:*
Verify password:*
Security Question:*
Security Answer:*

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