Docuseries [Episode 1] Interviewee Interest Form

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This is an interest form for the first episode of our docuseries, Confessions, revolving around dating culture, pressures, and expectations in the Asian/ Asian American community at MIT.

Here is our statement of intent: https://tinyurl.com/docu-statement

Deadline to fill out the interest form is January 7, 2022.

This project is produced by MIT Asian American Initiative.

Name *

Do you wish to remain anonymous? *

Yes

Maybe

If you wish to remain anonymous, are you okay with your hands being filmed? (for footage of you sketching, gesturing, etc)

Yes

Clear selection

Phone Number *

Email *

Which week would you prefer to film? *

1/3 — 1/9

1/10 — 1/16

1/17 — 1/23

1/24 — 1/30

1/31 — 2/6

2/7 — 2/13

After 2/13 (please specify in Other)

Other:

Required

Optional Questions

The following demographic questions are included so that we can try to be cognizant of including a diversity of perspectives in our documentary :)

Please keep in mind that they are optional, so only answer them to the extent that you feel comfortable.

Gender identity

Sexual Orientation

Ethnicity

Any questions, comments, or concerns?

Personal Release Form

You will be asked to fill out the personal release form if you agree to be an interviewee. Please keep in mind that the reach of these videos may stretch beyond the MIT community.

The release form is here: https://tinyurl.com/docu-release

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