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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address:

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* 4. District:

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* 5. School:

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* 6. Certifications:

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* 7. Number of Years Teaching:

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* 8. What fuels your passion for education, particularly in the context of media and broadcasting?

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* 9. Provide a brief statement outlining your vision for the role of media education in South Carolina schools and communities.

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* 10. If applicable, highlight any past experiences or collaborations with South Carolina ETV that have motivated your application

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* 11. Provide the names and contact information for one professional reference who can speak to your qualifications and contributions to media education.

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