Long Island Media

Arts Show

Long Island Media Arts Show

Friday, March 27, 2009

Sponsored by: New York State Summer School of the Media Arts

High School students who wish to exhibit their work or apply to the Summer School of the Media Arts complete and mail this application.

VIDEO

(Limit 5 Entries per school-1 Video entry per sheet)

*Please include title of Video

 Title of Video

     

 

Student Name(s)

 

     

 

     

 

Last

First

 

   Please consider me for the New York State Summer School of the Media Arts

 

 

 

*If this is a group project, please list each member of the production team.

 

*Use separate form for each media type. 

 

*Please use a separate form for each video.

 

 

      

      

Last

First

    Please consider me for the New York State Summer School of the Media Arts

 

 

      

      

Last

First

    Please consider me for the New York State Summer School of the Media Arts

 

 

      

      

                               Last                                                             First

   Please consider me for the New York State Summer School of the Media Arts

 

                                                                                

 

 

Last

First

 

   Please consider me for the New York State Summer School of the Media Arts

 

 

 

                                                                               

 

School                                                                   School Phone #

     

 

School Street

                                                                                                       

 

Town                                                         State                                   Zip

 

 

                                                                                             

                                                Teacher                                                                 Email (required)

 

Mail the completed application by March 12, 2009

Eastern Suffolk BOCES

Arts-In-Education

350 Martha Avenue

Bellport, NY  11713       631-286-6989 (V);      631-286-6991 (FAX)

 

For NYS Summer School for Media Arts Application: http://emsc32.nysed.gov/nysssa/SMA/media.htm