Gather Community Film Screening Form

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Gather Community Film Screening Form

Please enter as much information as you can. We will be able to follow up with you more efficiently.

If you are an an educator or nonprofit in Indian Country, please copy this link and paste into a new browser window. It will take you to a form managed by FIRST NATIONS DEVELOPMENT INSTITUTE.

https://docs.google.com/forms/d/e/1FAIpQLSeMI-UmKJGuQXhoZ9gUBF1YSjx8yHyLyOJL4xMzCdrdGIDh8A/viewform

If not, please continue on below.

What best describes you?

Individual in Indian Country

Nonprofit outside Indian Country

Educator outside Indian Country

Individual not residing in Indian Country

Corporation

Other:

Clear selection

Location of screening

Size of audience

Less than 50

50-100

More than 100

Clear selection

Name

Your organization (if applicable)

Contact Email

How would you screen the film?

DVD

Digital file off laptop

Movie Theater

Other:

Clear selection

Would you be interested in using our platform that allows virtual simultaneous screenings for classrooms, with an embedded Zoom function?

Yes

Clear selection

Submit

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