DATA OF THE PARTICIPANT

Name:

Surname:

Gender:
malefemale

E-mail address:
The generated PDF of the Participant's Survey will be delivered to this email address.

Phone number: (00XX XXXXXXXXX)

Date of birth: (DD.MM.YYYY)

Nationality:

Country of residence:

City of residence:

INFORMATION ABOUT PARTICIPANT

Level of knowledge of English language:
A1A2B1B2C1C2

Preferred interests:
scriptwrittingfilm directionfilm productionfilm criticismjournalismacting

The way you want to participate in the project:
physically in Warsawremotely from hometown

A few words about me:

Additional information: (allergies, special needs)

Letter of motivation:
0/1200

FILM EXPERIENCE

Did the audiovisual materials you co-organized have public screenings?
were broadcast on TVwere shown in the cinemawere published online by schools, organizations or cultural institutionswere shown during informal public screeningswere published online by me ex. in the YouTubewere never shown in public

Were your audiovisual projects on a professional or amateur level?
professionalinstitutionaleducationalamateurish

What is the average length of the audiovisual projects you co-organized?
over 60 minutesover 30 minutesover 10 minutesless than 10 minutes

What is the total number of the film projects you have co-organized?

What is the overall time of your activity in the film field?

After completing and submitting the Participant’s Survey, the browser window will display a completed PDF form that can be saved on your computer. The generated PDF will also be delivered to the email address of the person filling the Survey.

"I hereby confirm that I have read The Regulations of the FILL – Film Industry Leaders Lab..

"I agree to participate in the FILL – Film Industry Leaders Lab project, accept The Regulations of the FILL – Film Industry Leaders Lab and do agree to personal data processing and presentation for the purposes of the recruitment process and participation in the project, in accordance with Regulation (EU) 2016/679 Of The European Parliament And Of The Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation)."

Newsletter:
"I do agree to receiving monthly invitations and information on educational and cultural projects (eg. competitions, workshops, festivals, films reviews) implemented or recommended by the FILMFORUM Association (sent contents do not contain commercial information) to the e-mail addresses indicated herein."
yesno