MFW 4 YOUTH JURY PROGRAM
MFW 4 Youth Jury Program is a 3(three) days intensive yet fun training program for youth to be part of the Youth Jury Board of the Minikino Film Week 4, Bali International Short Film Festival (https://minikino.org/filmweek)

The training program will be held at Omah Apik Bed & Breakfast, Pejeng-Bali, 6-8 July 2018, delivered by the board of directors of the Minikino Film Week.

Youths between 13-16 years old will trained and learn about how to review and judge pre-selected short films in a panel of thorough discussions, writing and reviewing for 3 days in Bali. The best part is; the participants of this camp will be part and acknowledged as the Youth Jury Board for the international short film festival in Bali, Minikino Film Week 4.

Any question? Please don't hesitate to contact us:
WhatsApp: +62-831-1953-5537 (English & Bahasa Indonesia)
or email: youthjury@minikino.org

Email address *
REGISTRATION FEE
Registration fee: IDR 4.500.000* (Four Millions and Five Hundred Thousands Rupiahs)

The registration fee covers following:
- 3 days 2 nights (6 - 8 July 2018) stay at Omah Apik, Easy Country Living (http://www.omah-apik.com/), in Pejeng, Gianyar, Bali
- Daily meals
- Pick up schedule from Ngurah Rai airport to Omah Apik Pejeng, on 6 July 2018, during 07.00 - 10.00 WITA only. Departure from Omah Apik to Ngurah Rai airport on 8 July 2018 at 14.00 WITA.
- Modul kits and certificate
- SUPREME PASS during the MFW 4 festival, Bali 6 - 13 October 2018

In order for your application to be processed, all required documents must be submitted. Payment will be required only after the invitation to full registration. The process only takes 2-3 days after the registration. The registrants will be invited for full registration and payment of the registration fee via email.

Registration is on a first come, first served basis, and only 20 (+ 2 Scholarship) youths will be approved to participate. The registration will be closed on 4 June 2018 or whenever the maximum number of participants reached.

*Get 20% OFF for early bird discount only until May 10th, 2018.

PAYMENT
You are expected to pay immediately to confirm your registration.
REGISTRATION ONLY VALID UPON PAYMENT OF THE REQUIRED FEES.

Please make payment only to:
CIMB NIAGA - YAYASAN KINO MEDIA- acc.no. 800147750800

Any question? Please don't hesitate to contact us:
WhatsApp: +62-831-1953-5537 (English & Bahasa Indonesia)
or email: youthjury@minikino.org

CANCELLATION OF REGISTRATION
Cancellation of registration must be submitted email, and is valid only with copy receipt of the payment as proof.

The cancellation fees are dependent on the date that the cancellation email sends:
- If cancellation email occurs before (and until) June 30, 2018, shall get a refund of 50% of the registration fee.
- If cancellation email occurs after 30 June 2018, shall get refund of 25% of registration fee.
- Cancellation email on July 3, 2018 onward shall not get a refund.

GET READY TO FILL OUT THIS FORM
ALL REGISTRATION DATA WILL BE TREATED CONFIDENTIALLY

The applicant is the parent or an adult legally responsible for the youth registrant. The applicant must fill out this application together with the youth registrant.

You might need around 30 minutes to fill out this form. Please mind that this online form in not resumable, therefore closing this form before you klik "SUBMIT" will reset to a new blank form again.

Please prepare your documents before filling out this form;
1. Youth Registrant Student ID, in digital image (jpg)
2. Youth registrant recent self photo, in digital image (jpg) (Please make sure it clearly shows the face)
3. Parent's Passport/ID, in digital image (jpg)
4. Parents Consent Statement Letter, in document file/doc/pdf (download consent letter sample from: minikino.org/consent.docx )
You will have to upload all these documents at the end of this form

APPLYING FOR SCHOLARSHIP
Scholarship only eligible for youth currently residing in Bali, the holder of Nomor Induk Siswa Nasional (NISN) and able to communicate in English.
Please prepare these documents;
1. Kartu Keluarga (format jpg)
2. Akte Kelahiran (format jpg)
3. Surat rekomendasi dari institusi dalam bahasa Indonesia (download contoh di sini: minikino.org/rekomendasi.doc)
4. Piagam prestasi* (jika ada / max. 5 piagam) (format jpg)
5. Sertifikat pelatihan/workshop/seminar* (jika ada / max. 5 sertifikat) (format jpg)
APPLICANT INFORMATION FORM
Please notice that the applicant is the parent or an adult legally responsible for the youth registrant. The applicant must fill out this application together with the youth registrant.
Full Name of the applicant: *
Place and date of birth: *
Gender / Gender: *
Marital Status: *
Relationship to the youth registrant: *
Citizenship: *
Current address: *
Phone Number: *
E-mail:
Leave blank if the same as above
ALTERNATIVE / EMERGENCY CONTACT FORM
Emergency contact's name: *
Relationship to the youth registrant: *
Leave blank if not applicable/not needed.
Cellular / Phone Number *
2nd Phone Number
Leave blank if not applicable/not needed.
3rd Phone Number
Leave blank if not applicable/not needed.
Email *
YOUTH REGISTRANT INFORMATION FORM
To be eligible, youth must be between age 13 to 16 years old.
Youth's Name (First Name, Middle Initial, Last Name) *
Gender *
Date of Birth: *
MM
/
DD
/
YYYY
School Grade (by June 2018) *
SCHOLARSHIP
Do you wish to apply for scholarship? *
Scholarship only eligible for youth currently residing in Bali, holder of Nomor Induk Siswa Nasional (NISN) and able to communicate in English. If you choose 'yes' you will be led to to the Scholarship Application Section, where you will have to upload your scholarship application documents.
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