Aha Media Immersive

Aha - Virtual Externship Registration

For questions about the externship, email us at contact@ahamedia.co

To participate in this externship, you will need access to the following: an internet connected computer, tablet or phone and access to a Zoom account.

* indicates required

Do you have access to the tools listed above? *

Email Address *

First Name *

Last Name *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Emergency Contact Email - Parent or Gaurdian *

Please list a valid email.

Are you currently enrolled in: *

Middle School
High School
University/College
Graduate

Name of academic institution (Full Name) *

Please do not use abbreviation. Example; Indiana State University, College for Creative Studies, Creative College of Art and Design, etc. Write N/A if you did not attend a university.

How did you hear about this? *

If other, please describe