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PARTICIPANT’S SURVEY

PROJECTS

#followme - Youth Movement for Social Change

location:
Radom

date:
4 – 10 July 2021

Organizer:
FILMFORUM Association (Poland)

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

Project number 2020-3-PL01-KA105-095099 is realised with the support
of the ERASMUS+ Programme of the European Union.

PARTICIPANT'S SURVEY

    DATA OF THE PARTICIPANT

    Name:

    Surname:

    Gender:

    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)

    City of residence:

    Country of residence:

    Nationality:

    INFORMATION ABOUT PARTICIPANT

    Level of knowledge of languages:
    English
    Polish
    German
    Italian
    Hungarian

    Preferred interests:

    A few words about me:
    0/600

    Additional information: (allergies, special needs)
    0/600

    Meals

    An idea for a social advertising script that raises one of the following issues:
    1. intolerance,
    2. addictions affecting young people,
    3. stigmatizing people of different origins or opinions,
    4. freedom and its social limits,
    5. hate speech.

    0/1200

    FILM EXPERIENCE

    Did the audiovisual materials you co-organized have public screenings?

    Were your audiovisual projects on a professional or amateur level?

    What is the average length of the audiovisual projects you co-organized?

    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 generated PDF will be delivered to the email address of the person filling the Survey.

    "I hereby confirm that I have read The Regulations of the TOGETHER​ project.

    "I agree to participate in the TOGETHER​ project, accept The Regulations of the TOGETHER​ project 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