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Online Application

By completing this form you are entering yourself for consideration in the applicant pool for a KDMC@USC seminar. Please review the application form and gather materials before you begin filling it out; in fact, we suggest that you write your personal statment and other information in another application rather than composing them within this form.

* Required fields are indicated with an asterisk.

Warning!If you are applying for a KDMC@UCB Multimedia Training Workshop, you must apply on the KDMC@UCB Web site and not via this form.

* Seminar you are
registering for:

No seminars are currently scheduled.

Company Address  
Street number and name
Aparment/unit/suite
City
State
Postal Code
* Work phone
* Work email
Fax
   
Home Address  
Street number and name
Aparment/unit/suite
City
State
Postal Code
Home phone
Home email
   
How did you hear about us?
   
Academic History  
College or University
Undergraduate degree
Year of your undergraduate degree
Graduate degree
Year of your graduate degree
Other formal academic studies
   
Awards and Honors
   
Continuing Education and Training
Please list fellowships, training conferences, in-house training programs and other continuing education programs you have attended, including sponsoring organizations and length of time involved.
   
Professional Memberships and Affiliations
   
Other Activities and Interests
   
Employment History
Beginning with your present position and working backwards, please provide the organization name, position held, dates of position, supervisor name, and supervisor phone number for the last five jobs you have had.
Total years experience as a professional journalist
Years experience as a professional multimedia journalist
   
Work Samples
Submit three URLs of your best multimedia work. The subject does not need to relate to the seminar topic, but should show your skill and ability present complex issues online. Samples in a language other than English should include a translation. All samples should have been published online within the last five years.
   
Personal Statement
A 500-word statement explaining how this seminar experience would benefit you, your news organization, and your audience.
Taking It Back to the Newsroom
Please detail how you will share what you learn with colleagues.
   

By submitting this application, I certify that all information in this application is correct and that, if accepted, I understand the seminar is a residential program and I will attend all sessions and activities. If you are accepted, you and your supervisor must commit to developing an action plan for putting what you learn to work for the benefit of your news organization. Plans must be submitted to KDMC@USC within 30 days after you return home.