Application Form for Miami Montage 2023

2023 PEACE SULLIVAN/JAMES ANSIN 

HIGH SCHOOL WORKSHOP IN JOURNALISM & NEW MEDIA 

University of Miami School of Communication 

 Application & Request for Information.  

PROGRAM DATES:  June 25 – July 8, 2023.  THIS IS AN INTENSIVE PROGRAM. STUDENTS MUST BE PRESENT FOR EACH DAY, INCLUDING ANY HOLIDAYS. THERE IS LIMITED TIME-OFF ON SUNDAYS.  

COMPLETE THIS FORM AND ATTACH THE FOLLOWING:

  1. A COPY OF YOUR LATEST HIGH SCHOOL TRANSCRIPT.
  • A 200-WORD ESSAY ABOUT YOUR INTEREST IN THIS PROGRAM, EXPERIENCE AND REASONS FOR APPLYING. INCLUDE THE WORD COUNT. THIS ESSAY MUST BE YOUR OWN WORK.
  • TWO EXAMPLES OF YOUR BEST WRITING AND/OR OTHER WORK YOU WANT US TO CONSIDER. THIS MAY INCLUDE VIDEOS, AUDIO, PHOTO, AND/OR ANIMATION. HOWEVER, YOU MUST IUNCLUDE ONE WRITING SAMPLE. YOU MAY SUBMIT BY ATTACHING HARD COPIES TO THIS APPLICATION OR BY EMAIL AS EXPLAINED BELOW.  
  • RECOMMENDATION LETTER: Include with the application or by separate email one letter of recommendation on official letterhead from a teacher, school counselor or advisor who is familiar with your skills, character, and interest in this workshop.  If you do not provide this letter, we may reject your application.

PERSONAL INFORMATION REGARDING STUDENT APPLICANT (type or print legibly):

Full Name: __________________________________________ Date of Birth:  ___________________ 

Primary Home Address: ______________________________________________________________ 

Mailing, if different from above: _________________________________________________________ 

Telephone (home & any cellular with area code): ___________________________________________ 

Applicant’s Email Address: _____________________________________________________________ 

Parent or Legal Guardian name, email address and phone: ___________________________________

___________________________________________________________________________________

Gender: ___                 Grade Level at time of Application: ___ 

SCHOOL INFORMATION:   Name of Current High School & Mailing Address:  ______________________ 

____________________________________________________________________________________

School Telephone Number (Advisor or best contact): _________________________________________

School or Journalism Advisor: ___________________________________________________________ 

Describe your school or community-based journalism and similar experience (e.g., newspapers, magazines, television, radio, blogs, web pages, design, photography, etc.): _______________________ 

____________________________________________________________________________________

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Explain your specific leadership positions in any school or community-based journalism organizations, groups, or publications (printed, online, or broadcast) with relevant dates:  ______________________________ 

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Tell us about your specific skills or experience you wish us to consider: ___________________________________ 

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

 Parental Approval & Contact Information 

A custodial parent or legal guardian must sign and approve this application and permission statement: 

I, ______________________________, give permission for my child or dependent to attend this workshop at the University of Miami and at other sites (as reporting projects may require) in the South Florida area. My son, daughter, or dependent has my permission to participate in any field trips and reporting-related interviews or visits in the South Florida area. My son, daughter, or dependent also has my permission to spend the required nights during the workshop in University of Miami dormitories. I understand that the University of Miami assumes no liability for personal injuries or losses of any kind during the workshop period. I also understand that if my child or dependent is accepted, we may be required to complete additional forms (e.g., medical and publicity releases) and provide additional information as a condition of his or her participation; and, that if my child or dependent violates any University or workshop rules of conduct, he or she may be discharged from the program.  

PRINTED NAME of Parent/Guardian:  ____________________   Relation to Student: ______________  

SIGNATURE:  ________________________________________ Date: _________  

Contact Information for Parent or Guardian (e.g., cell, work and home phone numbers AND emailaddress as well as home address, if different from what is list above): __________________________ 

____________________________________________________________________________________

____________________________________________________________________________________

Return this form with clips and attachments to:

Gina Presson, Co-Director 

Sullivan/Ansin High School Journalism & New Media Workshop 

University of Miami School of Communication-Rm. 2007 

5100 Brunson Drive; Coral Gables, FL   33146                                      

(305)-284-8451

gdpresson@yahoo.com

(IMPORTANT NOTES:  You may send applications & materials by mail, hand-delivered or emailed, but we must receive everything on or before April 25, 2023. Illegible or incomplete applications may be disqualified. Please use a standard software program if you scan. All applicants must be available, if requested, for an interview on the UM campus as part of the application process at a date to be determined. All accepted applicants must be available for the entire workshop. We will announce acceptances on or about May 15, 2023, by email. Assume application materials will not be returned.)