2017 Catalyst Workshop Application: Strategists & Filmmakers
Please complete this form to be considered for an upcoming Catalyst Workshop.

*NOTE* - If you are an organization applying to be a partner, please do not fill out this application. Contact us directly at info@conservationmediagroup.org

Contact Information
Your First and Last Name:
Your answer
Your Full Mailing Address (street, city, state):
Your answer
Home City & State
(if different than mailing address)
Your answer
Email Address
Your answer
Phone Number
Your answer
About You
Short Biography
Please include a short professional biography of 100-250 words about your education and work experience.
Your answer
Online Resume
Please include a link below to your online resume, if you have one (eg. LinkedIn, Academia, or Facebook)
Your answer
Job Title or Course of Study
Your answer
Employer or University
Your answer
Employer or University City & State
Your answer
Gender
Your answer
Birthdate
MM
/
DD
/
YYYY
Your Experience
Your Field of Expertise
Please do your best to summarize your area of expertise (eg. filmmaking, social media, analytics, etc.)
Your answer
Years of Experience in Your Field
Please include any years of academic study that were specific to your field.
Your answer
Specialities / Expertise
Please list any special technical areas of expertise you may have.
Your answer
Links to Work Samples
Please include links to at least 2 (and up to 4) samples of your best work and describe your role & responsibilities for each sample/link. For filmmakers, these should be films you have produced, shot, and/or edited. For others, please include links that show any projects, art, research, campaigns, etc. that you have worked on that relate to the workshops.
Your answer
About the Workshop
Workshop for which you are applying:
Please select the workshop for which you are applying. (You may express interest in more than one workshop date range even though our Fall workshop topics have not been determined yet.)
Required
If you've selected multiple workshops, which is your first choice and why?
Your answer
Your Interest in the Workshop Focus
Please tell us more in 100-250 words about your interest & experience in the workshop focus.
Your answer
Your Workshop Goals
Please tell us more in 100-250 words what you hope to get out of the workshop.
Your answer
What is the one thing you would most like to improve about how we make or share conservation media?
Please tell us in 150-250 words.
Your answer
Workshop Fee Waiver
The registration fee for this workshop is $500, payable upon acceptance. If you are in need of assistance with the registration fee for the workshops, please tell us in 250 words or less about your need & your ability to attend the workshop with or without assistance. Please be clear if you will not be able to attend the workshop without a partial or full fee waiver. A limited number of waivers are available.
Your answer
Where did you hear about our workshops?
Your answer
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