Fall Video Program Application 3 Seeds Fall Video Production Program The Fall Video Program Application is due on September 20th, 2018. The Fall Video Program Orientation is on September 26th, 2018 @3:15pm-4:15pm in Room 110 Please email mvanarsdale@3seeds.org, if you have additional questions. OK Question Title * 1. (Last Name, First Name) OK Question Title * 2. Date of Birth Date / Time Date OK Question Title * 3. Local Address (Street Address, City, State, Zip code) OK Question Title * 4. Permanent Address (If Different) OK Question Title * 5. Home Phone OK Question Title * 6. Email Address OK Question Title * 7. Emergency Contact (Name, Phone Number & Relationship) OK Question Title * 8. Current Grade Level Senior Junior Sophomore Freshman OK Question Title * 9. What are your strengths when it comes to video production and media? OK Question Title * 10. What are your weaknesses when it comes to video production and media? OK Question Title * 11. What position(s) are you interested in? Editor Assistant Producer Videographer/Photographer Audio Visual Operator Digital Video Host Field Reporter OK Question Title * 12. What skills or experience do you have that relates to the position you're applying for? OK Question Title * 13. What is your main interest in the Fall Video Program? OK Question Title * 14. Intended Major OK Question Title * 15. Are you employed? (If so, where) OK Question Title * 16. Are you a 3 Seeds Mentee? Yes No OK Question Title * 17. If so, what program are you involved in? OK DONE