From Incarceration to Education (FITE Film) Screening Request Form
If you are interested in hosting a screening of FITE Film, please fill out this form and a representative will contact you as soon as possible.
Sign in to Google to save your progress. Learn more
What is your name? *
What is your email? *
What is your phone number? *
If applicable, please state your organization.
Where are you interested in having the screening? Please include the address and a description of the venue. *
When are you planning on holding the screenings? Please give at least three different dates in the following three questions.  Please order the dates by priority (this answer=top priority, next answer =second choice, last answer=last choice).  If you can only offer one day, please put the same date for each response.   *
MM
/
DD
/
YYYY
Second Choice.
MM
/
DD
/
YYYY
Last Choice.
MM
/
DD
/
YYYY
How do you plan on screening the film? Please keep in mind that FITE Film is meant to be screening in High Definition (1920x1080), with a 16x9 aspect ratio, and using stereo sound. *
Required
Are you interested in hosting the cast and crew for a post-screening panel discussion and Q&A? Please note that sponsorship of travel and housing is required. *
Required
If you are able to hold a screening, can you pay an honorarium of $150 per panelist?
Clear selection
How did you hear about FITE Film? Select all that apply. *
Required
If you are able to host a screening, we ask that you please consider a donation to FITE Film. This is an unpaid project funded from grants and donations from people determined to end mass incarceration. Please visit fitefilm.com/donate for more information.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy