*Your name:
*E-mail Address
*Street address:
*City:
*State:
*Zip code:
*Telephone number
School:
Grade:
Age:
Gender:
Hobbies or interests (include extracurriculars & employment):
1. Do you have any journalistic experience?
Explain
2. Are you interested in creating illustrations to accompany the essays each month?
3. Will you be able to meet on one Sunday evening per month during the school year?
4. At some point during the school year, would you be willing to write an introduction to accompany the essays in the newspaper?
5. Why would you be a great Brainwave staff member?
6. Anything else you want to say?