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Safe Streets 2021 Fall Session: Audio Visual Intern
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* Indicates required question
Participant Last Name
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Your answer
Participant First Name
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Your answer
Participant Address (Number and Street)
Your answer
Participant Address (Zip Code)
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46218
46226
46219
46205
46208
Other
Participant Email
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Your answer
Participant Phone Number
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Your answer
Have you ever participated in the ND SAVES Safe Streets program?
Yes
No
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How old will you be September 19, 2021?
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14
15
16
17
Other
Parent/Guardian Last Name
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Your answer
Parent/Guardian First Name
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Your answer
Parent/Guardian Phone Number
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Your answer
Parent/Guardian Email Address
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Your answer
What are your interests in the area of audio-visual and technological work (check all that apply)?
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Film/video editing
Social Media Posting
Storyboarding
Sound Editing
Live Stream
Videography
Camera/Snapshots
Other/Uncertain
Required
Why are you interested in joining this program?
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Your answer
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