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Name:
Current Address:
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State:
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Phone:
Alternate Phone:
E-mail
   
Permanant Address:
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State:
ZIP:
Phone:
Alternate Phone:
   
Birthdate:
   
Will you graduate in the Spring 2009? yes no
What is the official title of your degree?
School Name:
Permanant Address:
City:
State:
ZIP:
Name of the Department Head or Chairman of your degree program:
Dept. Head’s Phone#:
   
Why did you choose this major and this school?
In 500 words or less, tell us why you will make a great contestant on this show.
Provide the link(s) where we can see a sample of your work. (Posted on YouTube, Veoh, Vimeo, or other social networking site)
What specific camera(s) do you have access to?
What specific lighting equipment do you have access to?
What specific audio equipment do you have access to?
If you win the grand prize, what film/video project will you make after graduation? Describe in 50 words or less.