Media Arts Design certification program
Name:
*
First Name
Last Name
E-mail Address:
Phone Number:
*
-
Area Code
Phone Number
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What program are you interested in? 1st Preference
*
Adobe Photoshop (Ps) : $500 bonus*
Adobe Premiere Pro (Pr) $500 bonus* :
Adobe After Effects (Ae) $500 bonus* :
Adobe InDesign $500 bonus
Adobe Illustrator $500 bonus
Adobe Dreamweaver $500 bonus
Adobe Animate $500 bonus
Other
What program are you interested in? 2nd Preference
*
Adobe Premiere Pro (Pr) : 8-weeks: bonus* :
Adobe After Effects (Ae) : 8-weeks : bonus* :
Adobe Photoshop (Ps) : 8-wks : bonus*
Adobe InDesign $500 bonus
Adobe Illustrator $500 bonus
Adobe Dreamweaver $500 bonus
Adobe Animate $500 bonus
Other
How many years experience do you have?
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What is your level of experience in the listed areas of advice?
*
Rows
None
Min. experience
Experienced
Very experienced
Adobe Photoshop (Ps)
Adobe Premiere Pro (Pr)
Adobe After Effects (Ae)
Adobe InDesign
Adobe Illustrator
Adobe Dreamweaver
Adobe Animate
Please select your preferred days and times for your workshop schedule***
Tuesday evenings (5p-9p)
Thursdays evenings (5p-9p)
Education, Creative, Technical Skills & Training
Education Level
*
High School
Some College
College Grad (Bachelors)
College Grad (Masters)
Some High Scgool (no diploma)
Employment Status
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Employed
Self-Employed, Freelance, Entrepreneur
Unemployed
Student
Military
Last 5 years of employment/school history
*
Describe your skills:
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How do you want to build on your skills through this training workshop:
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Skills and qualifications desired:
*
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PHOTO ID
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Proof of State residency (e.g. : utility bill, medicaid card, bank statement, etc)
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LinkedIn URL
Portfolio URL
Ethnic Background
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Afro American
Afro- Carribean
Asian/Asian - American
Caucasian (white)
Hispanic/LatinX
Bi-Racial/mixed
American Indian (indigenous)
other
Language(s) spoken
*
English
Spanish
Haitian Kreyol
Swahili
Mandarin
other
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