SUBMISSIONS

TOGETHER - ToGetThere

location:
Radom

APPLICATION FORM

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Data of the Participant

Pronouns

He/His
She/Her
Other

level? to of

First and last name

First

Last

E-mail address

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

Phone number

Date of birth

Country and city of residence

Nationality

Organisational information

Meals

meat
vegetarian

Language proficiency level

	0	A1	A2	B1	B2	C1	C2 / native
English	0English 0	A1English A1	A2English A2	B1English B1	B2English B2	C1English C1	C2 / nativeEnglish C2 / native
German	0German 0	A1German A1	A2German A2	B1German B1	B2German B2	C1German C1	C2 / nativeGerman C2 / native
Maltese	0Maltese 0	A1Maltese A1	A2Maltese A2	B1Maltese B1	B2Maltese B2	C1Maltese C1	C2 / nativeMaltese C2 / native
Italian	0Italian 0	A1Italian A1	A2Italian A2	B1Italian B1	B2Italian B2	C1Italian C1	C2 / nativeItalian C2 / native
Hungarian	0Hungarian 0	A1Hungarian A1	A2Hungarian A2	B1Hungarian B1	B2Hungarian B2	C1Hungarian C1	C2 / nativeHungarian C2 / native
Polish	0Polish 0	A1Polish A1	A2Polish A2	B1Polish B1	B2Polish B2	C1Polish C1	C2 / nativePolish C2 / native

Additional information

(allergies, special needs)

Film experience

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

Were your audiovisual projects on a professional or amateur level?

amateur
educational
professional

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

over 60 min.
over 30 min.
over 10 min.
less than 10 min.

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

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

specify in years or months

A brief introduction and your motivation for taking part in the project

An idea for a short film script

Idea for a short film script, taking place within one day and addressing one of the social issues listed below

1. intolerance,
2. addictions affecting young people,
3. stigmatizing people of different origins or opinions,
4. freedom and its social limits,
5. hate speech.

An idea for a short film script

Agreements

Personal Data Processing Policy

Rules and Regulations of the TOGETHER project

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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.

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