Student First & Last Name
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First Name
Last Name
Age
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What neighborhood do you reside in?
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Sylmar
Pacoima
San Fernando
Other. Please expand below
If you answered other, please tell us what neighborhood do you reside in:
What school do you attend?
What is your race/ethnicity?
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African-American/Black
Latino/Latinx/Mestizx
Asian/Pacific Islander
Caucasian/White
Native American/Indigenous
Middle Eastern/Arab
Bi-racial/Multiracial
Other
If other, please specify
What is your gender?
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Female
Male
Nonbinary
Transgender
Other
If other, please specify
What are your pronouns?
*
If other, please specify
Can you explain what media literacy is?
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I often think about who creates the media I watch and what motivates them to create it.
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In general, I think representation of my community is accurate in the media (TV, film, podcasts, etc.)
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Why do you agree or disagree that representation of your community is accurate in the media (TV, film, podcasts, etc.)? *
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In general, I think representation of women and girls is accurate in the media (TV, film, podcasts, etc.)
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Why do you agree or disagree that representation of women and girls is accurate in the media (TV, film, podcasts, etc.)? *
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I am familiar with the concept of gender equality.
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I am familiar with the concept of advocacy
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How comfortable are you speaking publicly (for example, giving a speech)?
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How confortable are you approaching people you don’t know and engage with them in conversation?
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How comfortable are you telling a story from beginning, to middle, to end?
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How comfortable are you providing feedback to your peers?
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How comfortable are you handling conflict?
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How many times have you engaged in: activism?
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I believe that I’m the first to speak in a group setting.
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I believe that I’m often more quiet in a group setting
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How would you describe your learning style:
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I am interested in being part of the film, TV, news or entertainment industry.
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What is your main creative outlet?
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Have you made a film before?
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What is your favorite TV show, film, podcast, and/or YouTube account?
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What is one goal you had for participating in this filmmaking intensive? Was that goal achieved, and why or why not?
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Are you interested in receiving information about additional enrichment opportunities?
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How did you hear about this workshop series?
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Website
Friend
Justice4Sister Instagram
Justice4Sister Twitter
Justice for My Sister Facebook
Other account social media,
Other organization
Other
If other, please specify
How effective do you think the homework assignments were for improving your storytelling skills?
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How effective do you think the speakers were in helping you formulate your podcast?
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Please review this list of speakers and provide feedback for 2-3 of them. Berenice Dimas (Hood Herbalism) La Loba Loca Daniela Franco Penagos (Basic Brown Nerds) Marlene Aguilar
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What is the name of your mentor?
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Hilda Franco
Juila Franco
Patricia Ovando
Julissa Villatoro
Did you find your mentor to be helpful? Please provide some feedback on your experience working with your mentor
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Did you find the feedback from your peers to be helpful? Why or why not?
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What, if anything, could be improved with the student presentation and feedback process?
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Do you think the format of this intensive cultivated camaraderie among participants?
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If no, what do you think could have been done differently?
How do you feel about the final product you created during this intensive?
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Please provide any final feedback on your experience with this summer intensive. We appreciate as much detail as you’d like to share!
