PERC'S Media Fellowship 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:
(North American residents only)
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Phone:
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Fax:
Email:
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How did you find out about this program?
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Attachments:
1) Resume
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2) Writing or broadcast samples
(three samples are required but you may submit up to five)
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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.
3) Statement describing why you want to attend this program
(one-page or less)
:
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