Youth Media Literacy Interest Form
Sign up for special offers, updates and information about Youth Media Literacy Training programs.
Name
*
First Name
Last Name
Email
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example@example.com
Tell us about yourself...
I want to learn about Youth Media Literacy programs:
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For ages 5 to 11
For ages 12 to 18
I'm interested in:
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In-person activities
Virtual workshops
Hybrid opportunities
The programs I'd like to explore are:
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Introduction to Media (ages 5 to 11)
Media Smart (ages 5 to 11)
Media Summer Camp (ages 5 to 11)
Creative Lab (ages 5 to 11)
NextGen Media: Youth Storytelling & Literacy Lab (ages 12 to 14)
NextGen Media: Youth Storytelling & Literacy Lab (ages 15 to 18)
Media Smart Series (ages 12 to 18)
Summer "StoryLab" Camps (ages 12 to 18)
Confident Kids (ages 12 to 18)
Other
I am a:
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Parent or Guardian
Student
Teacher or Nonprofit Representative
Additional Information
Would you l ike to learn more about an EMX Kids membership?
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Yes
No
Please verify that you are human
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