Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 3

Youth in 21st Century: Debating and Producing

Media Workshop
Sponsored by the International Debate Education Association
Manila, Philippines, June 15-27, 2012
Family Name ________________________ Given Name _______________________________
Current Address __________________________________________________________________
_______________________________________________________________

Gender _____

Country of Citizenship ____________________ Country of Residence _______________________


Phone number __________________________ Email address _____________________________
Age: ____________ Date of Birth: Date _____ Month ______________________ Year _________
Current school or employer _________________________________________________________
Highest Degree Attained _____________Date ______________School _______________________
Please attach a Curriculum Vitae (CV).

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?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
3. What form(s) of media are you interested in learning how better to use?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
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?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
6.

Tell us about a social and political issue and how it has been represented in the media in your
country.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

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?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

You might also like