You can always press Enter⏎ to continue
The Renaud Program
Sponsored by The Brent Renaud Foundation and The Anthony School
START application
1
Your name
*
This field is required.
First Name
Last Name
back
Next
Submit
Press
Enter
2
Your birthdate
*
This field is required.
-
Date
Month
Day
Year
back
Next
Submit
Press
Enter
3
Your email
*
This field is required.
example@example.com
back
Next
Submit
Press
Enter
4
Your current school
*
This field is required.
back
Next
Submit
Press
Enter
5
Your current grade level
*
This field is required.
back
Next
Submit
Press
Enter
6
Your parent/legal guardian's name
*
This field is required.
First Name
Last Name
back
Next
Submit
Press
Enter
7
Your parent/legal guardian's email
*
This field is required.
example@example.com
back
Next
Submit
Press
Enter
8
Your parent/legal guardian's phone number
*
This field is required.
Please enter a valid phone number.
back
Next
Submit
Press
Enter
9
This program requires the usage of a camera phone. Do you have a camera phone?
*
This field is required.
Yes
No
back
Next
Submit
Press
Enter
10
Reference #1 Name
*
This field is required.
Current or previous teacher
First Name
Last Name
back
Next
Submit
Press
Enter
11
Reference #1 Title
*
This field is required.
Current or previous teacher
back
Next
Submit
Press
Enter
12
Reference #1 Email
*
This field is required.
example@example.com
back
Next
Submit
Press
Enter
13
Reference #2 Name
*
This field is required.
Current or previous teacher, employer, church or community leader, or coach
First Name
Last Name
back
Next
Submit
Press
Enter
14
Reference #2 Title
*
This field is required.
Coach, teacher, church leader, etc.
back
Next
Submit
Press
Enter
15
Reference #2 Email
*
This field is required.
example@example.com
back
Next
Submit
Press
Enter
16
File Upload
*
This field is required.
Letter of recommendation
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
back
Next
Submit
Press
Enter
17
Written statement:
*
This field is required.
Please briefly describe why you want to be selected to be a part of The Renaud Program, why you have an interest in storytelling, and any experience you have with storytelling to date.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
back
Next
Submit
Press
Enter
18
T-shirt Size
*
This field is required.
Participants will receive a t-shirt
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
back
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
18
See All
Go Back
Submit
