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Interview Interest Form
If you are interested in participating in the documentary, Failure to Fail, please fill out the questions below. We will reach out to you as soon as we can.
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* Indicates required question
First and Last Name
*
Your answer
Address (City, State, and if you live in a large city the neighborhood)
*
Your answer
Email
*
Your answer
What is (was) your position in the education system?
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Educator
Administrator
Support Staff
Substitute
Other:
What demographic of students did you teach or interact with?
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Your answer
Why do you wish to participate in this documentary?
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Your answer
How do you wish to be involved?
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Video and audio interview with Observational B-roll (EX. classroom tour)
Video and audio interview
Audio interview
Written statement
Other:
Do you wish to remain anonymous?
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Yes
No
If "yes" to the last question, to what extent?
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Ex: Willing to be on video, but prefer my face to not be shown. Willing to have my audio but voice needs to be altered.
Your answer
Would you be open to an in person interview?
Yes
No
Clear selection
If yes, what dates or days are the best for you?
Your answer
PLEASE NOTE THAT WE WILL NOT DISCLOSE YOUR SCHOOL NAME OR ANY REAL NAMES OF PEOPLE ASSOCIATED WITH YOUR SCHOOL DURING YOUR INTERVIEW.
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