Microplastic Madness -Request to host a virtual movie screening
In emergencies please contact us at
Name of key contact person
Email address of key contact person
Best phone number for key contact person
Host organization name
Host organization street address, city, state and zip code
Type of host organization
Non-profit (501 c3)
Educational - public K-12
Higher Ed- public
Higher Ed - private
If you are an "Educational - Public K-12" organization, are you a Title 1 school?
Not an educational - public K-12 organization
Social Media handles
Is your screening synchronous (simultaneously viewed from the same host screen) or asynchronous (individually viewed at one's own pace)?
synchronous (simultaneously viewed from the same host screen)
asynchronous (individually viewed at one's own pace from a shared link)
Type of event
Educational - K-12 school, virtual classroom
Educational - K-12, virtual family event
Higher Education, virtual classroom
What is your preferred date/time for screening? Options: A (W+F) , B (Th), C (3 parts), D (Sat), and World Oceans Day/week.
A: Wed., May 6, 9am-3pm
A: Fri., May 8, 9am-3pm
A: Wed., May 13, 9am-3pm
A: Fri., May 15, 9am-3pm
A: Wed., May 20, 9am-3pm
A: Fri., May 22, 9am-3pm
A: Wed., May 27, 9am-3pm
A: Fri., May 29, 9am-3pm
B: Thurs., May 7, 2-8pm
B: Thurs., May 14, 2-8pm
B: Thurs,, May 21, 2-8pm
B: Thurs., May 28, 2-8pm
C: Mon., May 18-20, 9am-3pm
D: Sat., May 2, 4-10pm
D: Sat., May 9, 4-10pm
D: Sat., May 16, 4-10pm
D: Sat., May 23, 4-10pm
D: Sat., May 30, 4-10pm
World Oceans Week, June 4, 9am -4 pm with Q+A at 4 pm (EST)
What is your time zone?
How many screenings will you hold?
Name of event
Number of viewers
Audience (Check all the apply)
Children (age 11 and younger)
Please share any additional details about your virtual screening/event.
How did you hear about our film?
Are you charging a fee for this screening?
If you are charging admission or suggested donation, what is the price for a ticket? (If free, enter "N/A")
Questions on Post-Screening Panel
Are you planning a post-screening panel or Q&A?
If so, are you interested in someone from our Cafeteria Culture team joining the panel? (please note that we have limited resources for April but we are taking requests)
Screening Fees - please check one
Private K-12 school - $200
Public K-12 Schools (non-Title One school) $100
Public K-12 Schools (non-Title One schools) April 22, Earth Day Special - Free (limited to 30)
Public K-12 Schools, Title One - Free!
College/University - $200
Non-profit Organization - $100
Community Group - $100
Public Library - $100
Corporation or Businesses - $500 - $1000
Government Agency - $100
Please share additional details and comments here.
Send me a copy of my responses.
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