Live from 205General Application 2017-2018 PART 1

Live From 205General Application 2017-2018 PART 1

This form is to be completed by the applicant.

First name: ______Last name: ______

Cell Phone: ______

E-mail Address: ______

Current Grade Level: 8 9 10 11

Current GPA: ______

Current class schedule:

0. ______

1. ______2. ______3.______

4. ______5. ______6. ______

Extracurricular activities:

 ______ ______

LIVE FROM 205 POSITION

Position you are applying for ______

(It is ok to put “any position.”)

Briefly describe why you are interested in Broadcast Journalism(Live From 205).

APPLICATION CONTINUED ON NEXT PAGE 

Live From 205 is an equal opportunity employer.

Live From 205 General Application PART 1 CONTINUED

Do you have any experience in Journalism or Video Production (circle one): YES NO

If yes, please explain.

Do you watch Live From 205 (circle one): YES NO

If so, please give us some feedback…

Congratulations! You have completed part 1 of the application.

Please give this entire application packet to a teacher so they can complete the teacher evaluation form. Your teacher will not return this application to you. Please tell your teacher to deliver it to Mr. Vela at PalosVerdesHigh School, in a sealed envelope, if possible.

THE COMPLETED APPLICATION MUST BE RECEIVED BY:

Friday – March 3, 2017 3:00PM

Live From 205Teacher Evaluation PART 2

This form is to be completed by the teacher.

Name of potentialLive From 205 applicant: ______

Teacher name: ______Work Phone: ______Ext:___

How do you know this applicant?

RATINGS

How do you rate this student in terms of:

No basis / Below average / Average / Good
(above average) / Very good
(well above average) / Excellent
(top 10%) / Outstanding
(top 5%) / One of the top few I have encountered in my career
Creative, original thought
Motivation
Self-confidence
Independence, initiative
Intellectual ability
Academic achievement
Written expression of ideas
Effective class discussion
Disciplined work habits
Potential for growth

OPTIONAL: Any additional comments to help better evaluate the applicant?

Teacher signature: ______Date: ______

PLEASE DO NOT RETURN THIS FORM TO THE STUDENT.

PLEASE RETURN TO MR. VELA AT PALOS VERDES HIGH SCHOOL.

THIS EVALUATION WILL STAY CONFIDENTIAL – IT WILL NOT BE SHARED WITH THE APPLICANT.

THE COMPLETED APPLICATION MUST BE RECEIVED BY:

Friday, March 3, 2017 3:00PM