Student Application Form - ccajc.org

Student Application

Program eligibility: Jersey City residents, ages 14-18, with a passion for digital media.

Your name*
First Last
Email address*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
Phone number*
Date of birth*
Date Format: MM slash DD slash YYYY
Facebook
(link to your Facebook profile, optional)
Instagram
(link to your Instagram profile, optional)
Twitter
(link to your Twitter profile, optional)
Which term(s) are you interested in?*
- Select All
- Term 1: Photography & Photoshop Editing
- Term 2: Building a Brand
- Term 3: Video & Commercial Editing
- Term 4: Creating Digital & Social Media Content for Brands
You may select more than one
Tell us about yourself...*
Is there anything else you'd like to share?
(optional)
Letter of Recommendation*
Accepted file types: txt, md, doc, docx, pages, pdf.
Resume or Portfolio*
Accepted file types: txt, md, doc, docx, pages, pdf.
Name
This field is for validation purposes and should be left unchanged.