The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Send
Section 1 of 1
Alice Street Screening Request Form
Thank you for your interest in organizing a screening of Alice Street! We’re grateful for your support and excited to work with you.

If you’re not interested in hosting a screening but would like to know when a film is playing near you, please visit our events page at www.alicestreetfilm.com.

For additional inquiries regarding seeing/showing one of our films, please contact us at alicestreetfilm@gmail.com.
First Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Last Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Your phone number:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Your email:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Who are you?
Question Type
Loading image…
Educator/School/University
Library
Theater
Film Festival
Museum
Non-profit/community organization
Public Media
Religious center/organization
Cultural center
Option 10
Other…
Add option
…
Answer key
(0 points)
Loading...
Loading…
Name of your Organization/Festival/Museum etc.:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
City:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
State (2 letter abbreviation please)
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Zip code
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Potential Date/Time:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Screening Window? (i.e. 3 days streaming, a specific date range, etc.)
Question Type
Loading image…
Option 1
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Do you plan to charge admission?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Anticipated number of audience members:
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Will the screening be virtual or in-person?
Question Type
Loading image…
Virtual
In-person
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Please let us know if you are interested in the following?
Question Type
Loading image…
Filmmaker Q & A
Panel Discussion
Curriculum for Middle, High School and College Courses
Live Performance
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
First Name
Copy
No responses yet for this question.
Last Name
Copy
No responses yet for this question.
Your phone number:
Copy
No responses yet for this question.
Your email:
Copy
No responses yet for this question.
Who are you?
Copy
No responses yet for this question.
Name of your Organization/Festival/Museum etc.:
Copy
No responses yet for this question.
City:
Copy
No responses yet for this question.
State (2 letter abbreviation please)
Copy
No responses yet for this question.
Zip code
Copy
No responses yet for this question.
Potential Date/Time:
No responses yet for this question.
Screening Window? (i.e. 3 days streaming, a specific date range, etc.)
Copy
No responses yet for this question.
Do you plan to charge admission?
Copy
No responses yet for this question.
Anticipated number of audience members:
Copy
No responses yet for this question.
Will the screening be virtual or in-person?
Copy
No responses yet for this question.
Please let us know if you are interested in the following?
Copy
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.