Your Age (if 13, must be turning 14 in the year of prospective admittance) *
Date of Birth *
MM
/
DD
/
YYYY
Preferred pronouns *
Your answer
Cell Phone Number *
Your answer
Parent's or Guardian's Full Name *
Your answer
Parent's or Guardian's Cell Phone Number *
Your answer
Parent's or Guardian's Email Address *
Your answer
Home Address *
Your answer
Do you consider yourself to be of Hispanic or Latino origin? *
Choose
Yes
No
If you answered "Yes" to the above question, please check all of the following that apply:
Please select one or more of the following groups, of which you consider yourself to be a member:
*
Required
School Name *
Your answer
Current Grade *
What is the last day of classes for your school? *
MM
/
DD
/
YYYY
Please provide the full name of your Home Room, Advisory Teacher, or Guidance Counselor *
Your answer
Please provide the contact info (email address or phone number) of your Home Room, Advisory Teacher, or Guidance Counselor *
Your answer
How did you hear about our program? (Check all that apply) *
Required
If you checked "Referred by a current Fellow or Alumni" in the previous question, please list their name
Your answer
Are you a part of any programs, clubs or teams that meet outside of your usual Monday-Friday school schedule? If so, please list them below, along with meeting dates and times *
Your answer
If you have taken other arts class, please list below *
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ghetto Film School. Report Abuse