Berning Media Application

Berning Media Network Application: Submit via e-mail at berningmedia@protonmail.com

Name: ______________________________        Birthday:____________

    (Last)         (Middle)      (First)                    (xx/xx/xxxx)

State:_______________    City:___________    Postal Code:____________

Education:

High School:___________________________         Years Attended:____

Did you graduate:_____________

If not why: _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

College:__________________                Years Attended:____

Major:______________                 Did you graduate:______   

Minor:______________

Job Interested in(Circle one):    Writer  Editor    Podcast Host  Multimedia Creator   

Experience: Below on the lines provided pleases give us some details on your past experience in the job you have circled above that you marked above.

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

References:

 

  • Name:    _________________        Email:_______________________   

 

Years known:__________

 

  • Name:    _________________        Email:_______________________   

 

Years known:__________

 

  • Name:    _________________        Email:_______________________   

 

Years known:__________

BM1

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s