2024 Juneteenth Literacy for Truth Telling

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High School Student Registration Form

BECOME AN INFLUENCER!

Calling High School Students Who Want to Be Influencers

Apply to Literacy for Truth Telling and receive instruction on how to write and produce a podcast, revolving around the history of Juneteenth.

Date: June 5 and 6

Time: 9:00 a.m. to 3:00 p.m.

Location:

Manatee Unitarian Universalist Fellowship

322 15th St W, Bradenton

Lunch and snacks provided

Will receive a $50 gift card as an investment in learning upon completion of the podcast.

Student First Name *

Student Last Name *

Birthdate

YYYY

Grade as of Fall 2024 *

High School as of Fall 2024 *

Email Address *

Phone Number *

Parent/Guardian First and Last Name *

Parent/ Guardian Email Address *

Parent/Guardian Phone Number *

Explain any experiences you have in listening to or producing podcasts (Note: Experience is not required.)

Check that you meet the requirements to participate:

I am a resident of Manatee County.

I will be a 9th, 10th 11th or 12th grader as of Fall, 2024.

I have transportation available to get to and from 322 15th St W, Bradenton, Fl.

I commit to on time and full attendance on both days.

I commit to producing the podcast on Juneteenth.

I agree to the uploading of the podcast to the designated platform.

I am willing to produce additional podcasts in the future. (Not required but preference given to those willing.)

Required

Electronic Signature *

Submit

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