Cleveland Young and Loud Form

Cleveland Young and Loud Interest Form

Cleveland Young & Loud is a youth-led podcast that is bringing candid and entertaining conversations to the teens of Cleveland. We are looking for a group of core leaders that would be staple influences and co-producers of the show. We are planning to start training students on communication skills and audio production starting in February 2024. Once you have filled out the form you will be contacted with more information about our programming. If you have further questions please contact the Director of Youth Services, Kelli Price at kprice@wschouse.org or 216-771-7297 ex. 315.

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Student's Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of Birth

Grade Level

Name of School

What are some topics you are passionate about and want to address on the podcast?

T-Shirt Size

Parent's Name

First

Last

Primary Phone Number

Parent's Email

Emergency Contact Name

Emergency Contact Phone Number

What part of the program interests you the most (you can make multiple choices)

Socializing with other teens/ Having influence
Audio and Video Production Skills
Discussing topics I'm passionate about
Career Exploration/ Internship Opportunities

Do you have any questions or concerns about this program?