Annual Minnesota PBIS Institute 2018 Film Festival Entry Form
The purpose of this film festival is to highlight how schools and agencies are using videos to support their work in PBIS.

The deadline to submit a film is June 4, 2018. The film festival will occur during the 2018 Minnesota PBIS Institute on June 13-14, 2018.

There will be a light-hearted competition to acknowledge videos from a variety of categories. You are cordially invited to submit your school video(s) to be featured during the festival. Schools that would like to submit a video but cannot attend the conference are still encouraged to submit. Videos should have a direct connection to your PBIS efforts. The selection committee will nominate a handful of films to be considered for Film of the Year. Videos typically fall into one of the following categories: Setting-Specific Expectations, Mental Health & Anti-bullying, School-wide PBIS Expectations, School Pride, and videos created for Staff, Parents, & Community. Film scoring information can be found here - https://tinyurl.com/y8tg4vrg

Note - If you are submitting more than one film you must complete a separate form for each film. Also, you do not need to be present at the conference to enter a film. Thanks for submitting and using film to support your PBIS efforts!

Name of the lead person submitting the video (first last) *
Your answer
What is your email address? *
Your answer
What is your school or districts name? *
Your answer
What city is your school or district located in? *
Your answer
Title of the video *
Your answer
Do you have parent permission to film students? This could be in writing or passive consent. *
Paste a link to the video here
Your answer
Who is the intended audience of the film?
Please select the student grade level(s): *
Required
Please select a primary category:
Please select a secondary category:
Do you or a colleague plan on attending the Minnesota PBIS Institute on June 13-14?
Is this your first year submitting to the PBIS Film Festival? *
Has this film been submitted to the PBIS Film Festival in a prior year? *
List name(s) of co-creators
Your answer
How did you use this film in your school or district?
Your answer
Authorization
By submitting this form I acknowledge that I have any required permissions from my school district or organization to share this film.
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