PARTICIPANT’S SURVEY

FAST Film Art for Social Transformation​

location:
Radom, Poland

date:
9 – 15 August 2020

Goals

The main goal and tangible effect of the project will be film spots (social advertising) about important social issues, which have a chance to become an authentic voice of the European youth generation.

PARTICIPANTS:
The youth exchange of 15 people from each organization participating in the project – a total of 60 young people.

WHERE:
Radom, Poland

WHEN:
9 – 15 August 2020

COUNTRIES:
Germany, France, Italy and Poland

AGE:
from 18 to 30 years old

Organizer:
FILMFORUM Association (Poland)

Partners:
Offener Kanal Magdeburg (Germany)
Associazione Cinematografica
e Culturale LABORATORIO DEI SOGNI (Italy)
KINOGRAPHE Association (France)

Project number 2019-3-PL01-KA105-078021 is realised with the support of the ERASMUS+ Programme of the European Union.

Participant's survey

    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)

    ID card number/passport:

    Registered address: (street, building, city and country)

    Nationality:

    Country of residence:

    INFORMATION ABOUT PARTICIPANT

    Level of knowledge of languages on a scale from 1 to 5: (1-low, 5-high)
    English 12345
    Polish 12345
    German 12345
    Italian 12345
    French 12345

    Preferred interests:
    scriptwrittingfilm directionfilm productionfilm criticismjournalismacting

    A few words about me:

    Additional information: (allergies, special needs)

    An idea for a social advertising script:
    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 FAST Film Art for Social Transformation..

    “I agree to participate in the FAST Film Art for Social Transformation project, accept The Regulations of the FAST Film Art for Social Transformation 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