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Application-Form SEA-2012 v2 20032012
Application-Form SEA-2012 v2 20032012
Media Workshop
Sponsored by the International Debate Education Association
Manila, Philippines, June 15-27, 2012
Family Name ________________________ Given Name _______________________________
Current Address __________________________________________________________________
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Gender _____
Note to Applicant: The following questions are designed to assess the reasons why you are interested in
the Youth in 21st Century: Debating and Producing Media workshop as well as how we can cater the
curriculum and teaching to the needs of the participants. You should not feel that there are 'right' or
'wrong' answers to these questions. The best way to answer these questions is honestly and insightfully.
If you are accepted to the workshop, you may be asked to complete a more detailed questionnaire.
1. From what media sources do you get most of your information? Please rank your top 3.
___ Print newspapers or magazines
___ Online news websites (including mobile device applications)
___ Blogs
___ Television
___ Text messaging service
___ Radio
___ Bulletin boards/posters/flyers
___ Public forums/speeches/meetings
___ Internet video
___ Others (please specify) ___________________________
2. Do you produce any media? If so, what have you produced and what tools/media software did
you use? what? If not, why are you interested in learning?
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3. What form(s) of media are you interested in learning how better to use?
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4. Have you ever debated before? If so, in what context and how often? If not, why are you
interested in learning how to debate?
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5. How do you see the relationship between the media and citizenry in your society? What, if
anything, would you like to change about this relationship?
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6.
Tell us about a social and political issue and how it has been represented in the media in your
country.
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7. Why do you want to attend the Youth in 21st Century: Debating and Producing Media workshop?
How do you plan to use the skills taught at this camp?
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