Free Spirit Media Interest Form

Are you interested in learning more about Free Spirit Media programs? Fill out this form for upcoming opportunities. For more information, visit freespiritmedia.org/programs.

Name

If you don't have an email address, please enter N/A

Phone

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Zip Code

Age

Are you enrolled in school?

This does not affect your eligibility.

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School (if applicable)

If you're not in school, please enter not in school.

What are your areas of interest?

Select all that apply

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Have you participated in FSM before?

If so, please list the program.

Would you like to be added to our newsletter to receive announcements about future opportunities and happenings at Free Spirit Media?

Resume (not required)

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