APPLICATION FORM: KAVI Young Ones Summer Innovation Camp 2018
KAVI's Summer Initiative at Kings County Hospital, July 9 - July 27, 2018.

Last year, KAVI YOSIC included a focus on community action; this year, KAVI YOSIC seeks to drive innovative content creation to promote healing and strengthening of the individual, the family, and the community.

Curriculum includes workshops and trips [eg; museum of moving image] -- trips to facilitate, inspire, and support participant’s interests in areas of: web design, audio, and video.

Instructions: To apply to be a part of this program, please complete the following application. Young people ages 13 through 16 are invited to apply. The deadline to submit an application is Sunday June 24th at 11:59pm. Please email tbailey@kavibrooklyn.org with any questions, or come visit us, with an appointment on Friday June 15, 11am - 5pm at Bklyn Commons (495 Flatbush Ave, Brooklyn, NY 11225)

1. First Name *
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2. Last Name *
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3. Date of Birth *
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4. Address (Street number & name, Apt. number) *
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5. City *
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6. Zip code *
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7. What neighborhood do you live in? *
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Please list the name and address of your school or program: *
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10. How did you hear about this program? *
11. Email Address *
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12. Cell Phone *
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13. Home phone
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14. Are you a member or regular visitor of any community organizations or centers in New York? If yes, please list which ones. *
Please provide a brief answer in paragraph form, not to exceed 300 words.
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15. Why are you interested in being a part of this program? *
Please provide a brief answer in paragraph form, not to exceed 300 words.
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16. What has been your favorite creative project in school or outside of school? *
Please provide a brief answer in paragraph form, not to exceed 300 words.
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17. What is your favorite place in New York City? Why? *
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18. Has media (Music, Movies, Writing, Podcasts, Dance) played a role in your life? Please explain. *
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19. Describe an experience where you were engaged with your community. How did it make you feel? *
Please provide a brief answer in paragraph form, not to exceed 300 words.
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20. If accepted to the program, would you be able to attend everyday? The sessions will be every Monday - Friday for three weeks (July 9-27) from 9:30am to 4pm. *
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