MPB Student Council
MPB Student Council is an opportunity for Mississippi students in 8th through 12th grade to learn leadership, civic engagement, media literacy and self-presentation skills. Plus, learn the importance of public media. Please submit your application to be a part of a fulfilling year.
Student Name
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First Name
Last Name
Age
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City
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Name of School
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Grade Level
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Student E-mail
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example@example.com
Mobile Number
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-
Area Code
Phone Number
Home Number
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Area Code
Phone Number
Parent/Guardian Name
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First Name
Last Name
Parent/Guardian Email
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example@example.com
Parent/Guardian Mobile Number
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-
Area Code
Phone Number
Parent/Guardian Home Number
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Area Code
Phone Number
List any organizations or clubs you participate in
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Things You Like To Do
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Check All Social Media Platforms You Are On
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Facebook
Instagram
Snapchat
Twitter
YouTube
Other
Why are you interested in being a part of the MPB Student Council?
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Upload Headshot
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Browse Files
pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif
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Reference Names
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Letter of Recommendation
Applicants must upload one professional letter of recommendation from a non-family member (e.g., teacher, counselor, coach, or community leader).
*
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Submit Application
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