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.

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* 1. (Last Name, First Name)

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* 2. Date of Birth

Date

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* 3. Local Address (Street Address, City, State, Zip code)

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* 4. Permanent Address (If Different)

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* 5. Home Phone

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* 6. Email Address

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* 7. Emergency Contact (Name, Phone Number & Relationship)

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* 8. Current Grade Level

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* 9. What are your strengths when it comes to video production and media?

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* 10. What are your weaknesses when it comes to video production and media?

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* 11. What position(s) are you interested in?

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* 12. What skills or experience do you have that relates to the position you're applying for?

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* 13. What is your main interest in the Fall Video Program?

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* 14. Intended Major

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* 15. Are you employed? (If so, where)

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* 16. Are you a 3 Seeds Mentee?

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* 17. If so, what program are you involved in?

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