Media Arts Program Intake Form

The Media Arts Program is for teenagers ages 13 to 17 and young adults ages 18 to 23.

Before being allowed to participate in Media Arts Program all youth must also complete the Youth Intake Form.

Have you completed the Youth Intake Form?

Yes

You must complete the Youth Intake Form BEFORE you're able to participate in the Media Arts Program.

First & Last Name *

Pronouns *

Email *

Age *

Date of Birth *

What types of media are you interested in?

Film Design & Production

Music/Sound Design & Production

Digital Design (Graphic Design; 3D Modeling; Animation; Zines etc)

Writing & Publishing

Photography

Performance Design (Drag; Cosplay; Acting; etc)

Life Skills (Personal/Professional Development; Financial Management; Practical Skills; Le

Are there any other forms of media that you really enjoy?

Is there anything in particular you would like to learn in the Media Arts Program? This can be a specific topic, software, or something else. *