From The Ashes Screening Request Form

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Go beyond the rhetoric of the “war on coal” in FROM THE ASHES, and experience the compelling and often heartbreaking stories about what’s at stake for our economy, health, and climate.

By hosting a screening of this film at your school, club or non-profit, you can invite your community to learn more about an industry on the edge and what it means for their lives.

In this 80 minute documentary, FROM THE ASHES captures Americans in communities across the country as they wrestle with the legacy of the coal industry and what its future should be under the Trump Administration. Learn more at www.fromtheashesfilm.com.

First Name *

Last Name *

Email address *

Phone number *

Name of your organization, non-profit or affiliation *

Are you a member of the Sierra Student Coalition?

Yes

How would you describe yourself? *

Beyond Coal Campaign organizer

Sierra Club Chapter

Sierra Club Member

Other:

What date do you plan to host your screening? *

You don't have to be exact, but we do ask you send it to us once confirmed.

YYYY

What time do you plan to host your screening? *

Time

Where do you plan to host your screening? *

This could be your school name, the address of your nonprofits office, or the specific theater on campus. Host a house party! Be sure to note if the venue requires a contract. Please include the street address.

Would you consider organizing a panel discussion? *

Consider hosting a post-screening discussion panel at the event, and identify a moderator and 2-3 panelists who can speak to the issue in a way that relates back to your audience.

Please confirm that you agree to the following.

Every screening host must commit to the following criteria in order to receive their free DVD of FROM THE ASHES.

I agree that: Yes, I agree to all terms *

I will make at least one post on social media with the hashtag #fromtheashes.

I will have at least 20 people in attendance.

I will use the film's Education Guide to help guide the post-screening conversation.

I understand that the film is property of National Geographic and that the film, From the Ashes, will not be duplicated, sold, transferred, or made available to any other party at any time or in any manner other than as provided.

I will take at least one photo from my screening and email it to screenings@fromtheashesfilm.com

Required

Shipping Address

Once you fill out this form, and we review the information, we will ship your DVD and education guide to this address. PLEASE NOTE, WE CANNOT SHIP TO PO BOXES

Street Address *

City *

State *

Zip Code *

How did you hear about this screening tour?

Email from Sierra Club

People's Climate March

Other:

Clear selection

Any additional notes? *

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