Application for Media
Production Class
Media Specialist – Amy Alday (407.852.3500 ext. 2227)
Want to be a part of our Morning
News Show, at
Fill out this application and return it to your teacher by:
Student Section (Completed by Student Applicant)
Name
_____________________________ Homeroom
Teacher ________________________
Write
a paragraph about why you would like to be a part of this year’s news crew:
(PARENT and TEACHER section on back)
Parent Section
(Completed by Parent)
I’m looking to select about 12 fifth graders to take part of the news show for the first marking period. These students will receive instruction and training in Television Production. This elective will take place in lieu of your P.E. and Music class. You will still attend Computer and Art class.
“I
give permission for my child, _________________________________, to participate
in
TV Production class, instead of attending P.E. and Music class this
marking period.
_______________________________ __________________________________
(Parent
Signature) (Phone)
*
Students will receive verification of their acceptance into the Media
Production class from Mrs. Alday, Media Specialist by
Teacher
Section
(Completed
homeroom teacher)
You may want to ask your 4th grade
teacher to complete this, if you were here last year.
*Filled out LAST and placed in Mrs. Alday’s mailbox by
Teacher Name
____________________________
Grade/Subject ____________________________
Please rank applicant in the
following terms (Circle one each row)
1. Behavior …..Outstanding
Excellent Good Fair Poor
2. Listening Skills ….. Outstanding
Excellent Good Fair Poor
3. Following Directions….. Outstanding
Excellent Good Fair Poor
4. Responsibility …… Outstanding
Excellent Good Fair Poor
5. Academics….. Outstanding
Excellent Good Fair Poor