POLYGLOT Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Fill in the application form to participate in the video contest. Be sure to read the instructions and rules first!

First Name(s): *

Last Name: *

Birth Date: *

(dd/mm/yyyy)

Gender:

Female

Male

Clear selection

E-Mail address: *

Web Site:

(if any)

Street Address: *

Postal code: *

City: *

Country: *

Your Short Biography: *

(up to 500 characters)

Film Title: *

Additional Credits:

(e.g. script, production, camera, cast, sound, music, lighting, editing)

Category: *

Documentary

Fiction

Produced in: *

(month/year)

Running Time: *

Technical information: *

(format, etc)

Short Synopsis: *

(up to 500 characters)

Previous screenings and awards:

(competitions, festivals)

Any additional information for the jury to consider?

(up to 750 characters)

Vimeo URL: *

Rules: *

I certify that I have read and agree to the rules of the competition and all submitted information is correct

Required

Subscribe to our newsletter:

I would like to receive information via e-mail about future NISI MASA projects

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms