Finding the Gold Within Screening Intake Form

Thank you for your interest in Finding The Gold Within!

Please complete the form by filling in your contact information. In addition, please let us know if you are interested in any collaborations. If you have any questions, feel free to contact us at
First Name of Screening Organizer *
Last Name of Screening Organizer *
Title of Screening Organizer *
Volunteer, Student, Events Manager, Executive Director, etc.
Official Name of Hosting Organization *
This should be the organization formally hosting or sponsoring the event.
Official Name(s) of Partner Organizations
Organization Website *
Best Email *
Best Phone Number
We'll call you if you prefer to talk on the phone.
How did you find out about the film? *
Aside from screening the film, are you interested in any of the following collaborations? *
Finding The Gold Within provides organizers the opportunity to host collaborative, high-impact discussions involving appearances of the film's protagonists and filmmaker Karina Epperlein.
Any additional questions, comments, or feedback?
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