2023 ACM National Conference Scholarship Application
Application Deadline: Wednesday, April 19 at 11:59 pm CT
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Organization
*
Describe your involvement with PEG/ Community Media
*
How will attending the ACM National Conference help you with your future plans in PEG/ community media?
*
Discuss how your participation in the conference will contribute to ACM's work of supporting the power of community through media?
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Please share any current activities or future commitment to work toward more inclusion and equity within the Alliance for Community Media, or within Access and Community Media as an Industry.
*
Upload your BIO
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of
Upload your Headshot
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of
Have you ever participated in the following ACM or ACM state chapter activities?
*
Workshop
Legislative Visit
Phone/Email Campaign
Other
If you selected Other, please explain
Have you ever attended the ACM National Conference?
*
Yes
No
If yes, when?
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