National Conference for Journalists
Online Application
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Required fields
First Name:
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Last Name:
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Mailing Address:
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City:
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State/Province:
(North American residents only)
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Zip/Postal Code:
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Country:
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Land Phone:
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Cell Phone:
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Fax:
Email:
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How did you hear about the conference?
Professional colleague
The Internet
Professional conference
Other
Specify:
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What organization do you work for?:
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Mailing Address:
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Phone:
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What is your position?:
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Please select one of the following three options for submission of your work samples:
If you are a print journalist, please provide a pertinent writing sample from the past year. Web links
OR
Files
Weblink:
Writing Samples:
Radio and television professionals should provide a pertinent work sample in an acceptable format (Web link, CD, DVD, etc.).
Weblink:
Audio/Visual Sample:
Will mail in samples. Send via postal mail to the PERC address on the left, fax to (406)586-7555, or email to programs@perc.org.
