To sign up for these exclusive career opportunities, fill in the application form below and send to info@shinemedia.org.uk

‘Career Academy’

APPLICATION FORM

 

Section 1

 

First Name:

Click here to enter text.

Surname:

Click here to enter text.

Gender:

Choose an item.

Date of Birth (DD/MM/YY):

Click here to enter text.

Nationality:

Click here to enter text.

Ethnicity:

Choose an item.

If ‘Other’ please specify:

Click here to enter text.

Address

Click here to enter text.

Home phone number:

Click here to enter text.

Mobile number:

Click here to enter text.

Email address:

Click here to enter text.

Website:

Click here to enter text.

Blog:

Click here to enter text.

 

Section 2

 

Are you in education, training or employment?

Choose an item.

If so, explain what you study or your job role.

Click here to enter text.

Please provide details of the grades achieved:

Click here to enter text.

 

Section 3

 

1. Why would it benefit you to attend this event?

Click here to enter text.

 

 

2. Why do you want a career in media?

 

Click here to enter text.

 

 

3. What part of the media industry do you hope to have a career in?

Click here to enter text.

 

 

Declaration and Signature:

The information supplied in this application form is accurate to the best of my knowledge.

 

Signature:

Click here to enter text.

 

Date:

Click here to enter a date.

 

Thank you for completing the application form.