HEARST-ARGYLE (North Carolina A&T State University)
News Leadership Symposium
June 19-22, 2007

(A copy of your current college transcript, resume’ and at least a 100-word statement on why you should become the next newsroom leader must accompany this form).

Application Deadline: April 30, 2007

   
 
Name:
   
  Last Name First Name  
       
       
 
Permanent Address:
 
  Street City State
       
  ( ) -   
  Zip Code Telephone Number Email
             
 
Mailing Address (if different from above):
 
  Street City State
       
  ( ) -    ( ) -   
  Zip Code Telephone Number Cellular Telephone Number
   
 
  College / University
 
Your Advisor:
   
  Last Name First Name  
       
  ( ) - -  
  Telephone Number Email  
       
  Address    
 
  Street City State
       
     
  Zip Code    
             
       
 
Your Education:
 
  Major Minor/Concentration GPA
       
     
  Graduation Date    
   
 
Your Interests and Skills:

Please review the newsroom positions listed below, and select your top three choices of interest.
  First Choice Second Choice Third Choice
       
  News Director News Director News Director
  Assistant News Director Assistant News Director Assistant News Director
  Executive Producer Executive Producer Executive Producer
  Producer Producer Producer
  Assignments Editor Assignments Editor Assignments Editor
       


Please list newsroom management software and equipment you are qualified to use.
       
   
Housing / Meals:  

Do you need housing assistance?
Gender:
Yes
No		 Female
Male
       

Do you have any special dietary concerns?    Yes          No

If you have special dietary concerns, please explain them below.     

Note: Incomplete applications will not be considered. Only the first 75 applicants will be considered. Only selected participants will be contacted.