CLIMB: Media and Visual Arts Training Program

CLIMB (Creative Learning in Media & Broadcasting) Eligibility Check
Thank you so much for your interest in CLIMB!
- All of our programs are tuition-free and only cost your time!
- Must be between the ages of 18-24
- Must live in the 5 boroughs of New York City
- Must have a highschool diploma or GED
- Males must be registered for Selective Service
- Must be out of school / out of work
You will be contacted by the Program Lead once your submission is recieved if you are eligible for the program with next steps.
What program are you applying for?*
What is your name?*

First NameLast Name
What are your pronouns?*

She/HerHe/HisThey/ThemOther
Date of Birth*

MonthDayYear
Date
Age Days
Age
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Are you a resident of one of the five boroughs (Manhattan, Brooklyn, Bronx, Staten Island, Queens)?*

ManhattanBronxBrooklynQueensStaten IslandNone of the above
Are you currently employed?*

YesNo
Are you eligible for employment in the United States?*

YesNo
How did you find out about our program?*
Name of Referring Person, Program, Event or Other Source*
Please share the name of the staff/friend that referred you from the program you named above
Do you already have a diploma?
Form Type
Company
Today

MonthDayYear
Date
Age in Days
Calculation
Should be Empty:

CLIMB (Creative Learning in Media & Broadcasting) Eligibility Check