DCTV's Media Fellowship Application

Page 1

NYC high school students are welcome to apply for this 7-month intensive media training program. Students learn the basics of documentary filmmaking, including camera operation, editing skills, interviewing and media literacy. Participating students create documentary, narrative or experimental short films. There are a limited number of slots for students the age of 13. All participants must commit to the full term of the program.

If you responded 'Other' to the question above, please tell us the name of your source.

First Name

Last Name

Mobile Phone

Home Phone

Email

Address Line 1

Address Line 2

City

Country

State

Postal Code

Are you COVID-19 vaccinated?

YesNoOther

Other Vaccination Status

Can you show proof of COVID-19 vaccination?

YesNoOther

Other Proof of Vaccination

Are you available to participate in person learning on the following days: (Please note, pick all days you are available, you will be coming for in person learning on one of those days.

Are you available to start class @ 4pm-6pm on remote and in person learning days?

YesNoOther

Other times:

High School

High School Name

Guidance Counselor Name

Guidance Counselor Phone

High School Address

High School Phone

Do you receive free school lunch?

YesNo

Contact Information

Parent/Guardian Full Name

Parent/Guardian Address

Parent/Guardian Email

Parent/Guardian Home Phone

Parent/Guardian Mobile Phone

Parent/Guardian place of birth

Tell us about yourself..

We are excited about the prospect of you joining our team and want to get to know you! We are looking for detailed, honest self-reflection.

Create your personal statement.

Respond to ONE out of the THREE OPTIONS below.

Please note that written responses must be at least 300 words. Video samples are optional and must be shot and edited by you.

Personal Statement (Who are you? What makes you, you? What qualities do you bring to the program?) Make it personal.

Applicants can choose one of the following two response options: Written Response (minimum 300 words) OR Video Response (provide link to video - 1-minute maximum length). If you share a google drive link, make sure that anyone with the link can access your content.

OPTION 1

OPTION 1 - Choose a character, Tell a story.

Select ONE of the following images (1-6) and create your own story based on the visuals. You may choose any of the individuals or objects shown in the image. (minimum 300 words)

https://lh6.googleusercontent.com/7mKd_m7gtScmcIrcp7HTYfYe-Zgokwat9QOD3y_cMAs5AvDf1TlZLsR9z1_HRo5G3i8ILNHuqm5OV0CdJejfkPNmiGmlLaVMMj4RcSX2riaczT-LBYLy3nxTf-Pz6MWZIg=w3562

https://lh5.googleusercontent.com/Uf9janqzDQqCwENqqXR3AIC1NyzM3UV-I8wy6Ap1vEL2c5qgOIrFFeJhPduhstzHJ68mj_FBDGr6suf1e33NnkXlG_31Lnyl3x8KGToYwaykUTPyGs1m7mRA-hhJ_NEcmg=w3554

https://lh6.googleusercontent.com/j_8uY4Xhl1eBAxo9CnbjYCg15rkJKu899vknZJ24CjI47cWkpsJHOAqv3PURcQStQwy8p1gcB3TIOoI9-pyYByKfI-rZ4CbZ2X-bGLOOG9eAP7YF9dOAZII5gf6jxo9bSQ=w740

https://lh4.googleusercontent.com/u0NASh2IYv467MfIjNm60gTX_CHD3LO7FejV6cYWTtw6xkAj17gYc1Fd6woS2qM5BRE-XT1blJVGJynkOIESmZHxWs9iQE3jLwk_KXaa2887lccrbEsGjyEfjk_nOAUPEw=w3428

https://lh6.googleusercontent.com/PHv_Og3al7fXclDEiKYL-oyH90Z0E2tBVl5FT-y9nLTEfxxVXXRFzwMrCNFVBxCVYLUHiNf3sLp10oV3gNyOzvvO8Mastk9mBT4G7j5Cd8jc5MqHuAXpHsaxRihEvkFoow=w740

https://lh3.googleusercontent.com/ozXSF4hf8OQkEjMo0ol1PCWG75RbMrHoAi3Ckp5iEbVLwXl638n7At2k32V1mYWVZl-tEcvC1qyhfkMIUfEKFrzrG9X12Yp30KZpfjjmJopgYdZLdeE1It_qtWpz6lkYcw=w2000

OPTION 2

OPTION 2 - Walk a Mile In Someone's Shoes

Think about one challenge facing you and/or your community in New York City. Pitch us your vision for a documentary film you can create based on this challenge. In your pitch be sure to include at least one person you will interview for the film and the questions you will ask them. Also consider what solutions you would offer to make a difference. (Minimum 300 words. Please be sure to check your word count before submission. Incomplete responses will not be considered.)

OPTION 3

OPTION 3 - The Immersive Storyteller

As a filmmaker, you will be tasked with engaging your audience. As you bring them into the world you create, they become immersed into your characters' experiences. Tell a short story using only sensory detail (the five senses). (Minimum 300 words. This story can be based on real-life personal experiences or totally made up. Please be sure to check your word count before submission. Incomplete responses will not be considered.)