TRiO Talent Search Filmmaking and Video Production Program

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* 1. Student's Full Name

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* 2. Student's Email:

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* 3. Student's School Name

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* 4. Student's Grade Level

7th

8th

9th

10th

11th

12th

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* 5. Student's Cell Phone Number

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* 6. Parent First and Last Name

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* 7. Parent Email

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* 8. Parent Cell Phone Number

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* 9. Are you interested in participating in a filmmaking and video production workshops?

Yes

No

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* 10. Are you available on Saturdays, 10:00 am to 12 noon for six Saturdays?

Yes

No

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* 11. Do you have any prior experience in filmmaking or video production? If yes please explain below:

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* 12. Do you plan to pursue filmmaking or video production as a career, or study in college?

Yes

No