2019 PBISAz Film Festival Submission Form
The purpose of the PBISaz Film Festival is to recognize students and educators for creating videos that showcase or teach the core principles of Positive Behavior Interventions and Support (PBIS) in their school or facility.

DUE September 27, 2019
School District or Organization Name *
As it should appear in a program - No abbreviations please.
Your answer
School or Facility Name *
As it should appear in a program - No abbreviations please.
Your answer
School Mailing Address *
Street, City, State, Zip - Ex: 1234 E School Rd, Phoenix, AZ 85020
Your answer
Principal's First and Last Name *
Include Mrs., Ms., Mr., Dr. as it should appear in a program - Ex: Dr. Donna Smith
Your answer
Principal's Email *
Your answer
Contact Person's First and Last Name *
Contact person submitting application
Your answer
Contact Person's Email *
Your answer
Contact Person's Phone Number *
Ex: (602) 555-7890
Your answer
I have read and agree with the PBISaz Film Festival consent form and am submitting a video voluntarily *
Be sure to read the entire consent form in this year's Film Festival criteria document
Choose Category *
If you choose Instructional Video, the award committee will use the Instructional rubric to score your entry. If you choose School Engagement Video, we will use the School Engagement rubric to score your entry.
Video Title *
Ex: "PBIS: Way to Be in the Hallway" or "The Day in the Life of an Eagle"
Your answer
Video Description *
Please describe the video in 140 characters or less (like a Tweet!)
Your answer
Public Link to VIEW the video (required) *
Copy/paste the URL where everyone can see your video on Youtube, Vimeo, etc.
Your answer
Download Link where organizers can DOWNLOAD the video in .mp4 or .mov format (required) *
Copy/paste the URL of the actual video file from a Dropbox, Google Drive, iCloud or another cloud storage account. Video should be in .mp4 or .mov format. This link will be kept private and used to play the video offline at the festival.
Your answer
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