1.Name of Candidate

2.Email address of candidate

3.Mobile phone number of candidate

4.Is the candidate currently working for a First Nations media organisation or freelance?

Working with media organisation

Freelance

5.If working for a media organisation, what is the name of the media organisation and in what position is the candidate working?

6.What previous media experience or training qualifications does the candidate have?

7.What capacity does the candidate have to undertake the training?

8.Why does the candidate want to undertake the FNMA News Initiative Project training?

9.The training is over 6 months, with a week at Batchelor Institute and weekly hour long online MasterClasses. Does the candidate have the time to commit to this schedule of training?

Yes

No

10.Can the candidate start training starting in mid-March?

Yes

No

11.Please provide details of the host organisation nominator or referee (if freelance).

Name

Company

Email Address

Phone Number