The Black Fatherhood Project Screening Host Interest Form
Thank you for your interest in hosting a Black Fatherhood Project screening/viewing party. Completing this form does not guarantee you/your organization the opportunity to host an official BFP event, nor does it commit you to anything -- it's only an interest form!
The Black Fatherhood Project will contact you for a brief phone conversation to explain host responsibilities and expectations, and answer any questions you may have. We will only contact you if we are interested in partnering with you as an official host. Once you decide to host your own screening, you will be asked to sign a memorandum of understanding (MOU) in advance of the event and you will be listed on the BFP website as an official host and will be sent a screening kit including a DVD and planning materials.
In the form below, please provide your best contact information, review all answers before submitting, and use the "Special Notes" section to include any other information our team might find useful in our host search process. We will reply to your inquiry at our earliest convenience, but no later than 3 weeks.
If you have any questions, please email us at
BlackFatherhoodProject@gmail.com
.
Again, thank you for your interest and we look forward to working with you!
Sincerely,
Jordan Thierry
Director, The Black Fatherhood Project
http://blackfatherhoodproject.com
Princesse Likayi
Program Assistant, The Black Fatherhood Project
http://blackfatherhoodproject.com
* Required
First name
*
Your answer
Last name
*
Your answer
Will this viewing party/screening be hosted by an individual, organization, business or other?
*
Individual
Organization
Business
Not sure yet
Other:
Your phone number
*
Your answer
Additional phone number
Your answer
Your email address
*
Your answer
Additional email address
Your answer
Venue city
*
Your answer
Venue state
*
Your answer
Venue zip code
*
Your answer
If your event will be hosted by a business or organization, list the name here
Your answer
Business or organization website address
Your answer
How many people do you want to attend your event?
*
It can be small, say 10 people, or large, like 100. It's up to you!
Your answer
If you already have a venue in mind, what is the maximum capacity?
Please give your best guess.
Your answer
February of 2013 will be the official launch month of The Black Fatherhood Project. Do you have a particular date in mind for your event?
If so, please list the prospective date(s) you are considering.
Your answer
Who do you expect will attend your event?
*
Use your best guess for what you are envisioning. Please check all that apply.
Youth under 21 years of age
College Students
Educators
Social Workers
Professionals
Fathers
Mothers
Community Activists
Public Officials and Government Employees
Friends and Family
Other:
Required
Please explain why you are interested in hosting an event
*
Your answer
Do you know anyone who was involved in the production of The Black Fatherhood Project? If so, please provide their name(s) and your relationship with them.
For Example: "John Smith, Co-Worker"
Your answer
Are you interested in having the Director of The Black Fatherhood Project, Jordan Thierry, or one of the featured men in the film participate in your event?
Unfortunately, The Black Fatherhood Project cannot cover expenses for in-person participation at your event.
I am interested in having Jordan Thierry or another BFP representative participate in the event.
I am ONLY interested in hosting an event if Jordan Thierry or another BFP representative is present.
I would be interested in having a BFP representative SKYPE in to the event
Clear selection
Special Notes
Please Use The Space Below to Add Any Special Notes or Communicate Any Special Circumstances Regarding Your Request.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
