Reel Lives

All fields are required unless otherwise indicated.

Applicant Information

Student Name

Mailing Address

City

Postal Code / ZIP

Your Email

Home Phone

Cell Phone (optional)

Date of Birth

Education Background

Current or most recent school attended

Current grade or highest level of school completed

Short Essay Questions

Less Than 300 Words Each

Why do you want to join Reel Lives?

What is the story you want to tell?

Signature

Please read the following, and check the "I agree" box below:

1. Prospective students applying for admission must live in the immediate geographical area of the current Reel Lives program to be considered. Please refer to the Reel-Lives.org website for more information on the current class.
2. There is no application fee for Reel Lives. Enrollment in the Reel Lives program is also free. However, Reel Lives usually does not cover transportation costs for students.
3. Due to the limited number of openings in the Reel Lives program each term, not all applicants can be accepted into the program. Students not accepted are welcome to re-apply for future classes.

I hereby agree that all information on this form is accurate to the best of my knowledge, and I give Reel Lives permission to contact me via phone, email or mail in regards to my application.

I agree.