Subjectified Educator Match Application

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Please use this form to apply for a free or reduced-price DVD of Subjectified: Nine Young Women Talk about Sex if you are an educator, social worker, or youth services provider interested in using Subjectified. Possible uses include classroom (sex ed, guidance counseling), therapy, or as a professional development tool for you. We will consider new uses as well. Your application will be considered by the Subjectified team. If you are unsure of your eligibility, please contact info@subjectified.com describing yourself and how you'd like to use Subjectified.

To purchase a regularly priced Home Use DVD (for use in a private classroom), click here: http://subjectified.bigcartel.com/product/subjectified-home-dvd

The DVD license offered in this program is for "Home Use," which includes use in a private classroom, but does not include any public screening setting. For institutional or public screening licenses, or to host an individual screening, email info@subjectified.com with your request. Please note, if you have an institutional budget that you can use to pay for a copy of Subjectified, please do so. The Educator Match is a service offered by individual donors and the Subjectified team, to make the documentary as accessible as possible to underserved audiences. The Subjectified team reserves the right to select partners whose aims are in line with Subjectified's scope and objectives.

Please keep your answers brief, but let us know who you are and what you do. We will respond with any follow-up questions and to let you know the status of your application. If you haven't heard from us within a month, feel free to check in by email.
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Name *

Title *

Institution you are affiliated with *

Official email address at your institution *

Best contact email if different than above

Contact Phone Number

What is your role? *

(e.g. high school teacher, social worker, youth services provider, sex educator, resource center coordinator)

In what context would you like to use Subjectified? If you plan to use it with students, indicate the age range, group size, class format and any other relevant information. *

(e.g. high school classroom, therapy group, training for yourself or other educators)

How will Subjectified help to serve your goals? *

What are you seeking to teach about using Subjectified, or what are your personal goals if you are planning to watch Subjectified for professional development?

Have you taught sensitive topics in the past? Will you need support implementing this material, if you plan to use it with students? *

Subjectified is 102 minutes long and is STRONGLY suggested to be shown in its entirety. It can be shown in modules/installations broken into chapters (each chapter is between 4-13 minutes). Are you able to show the entire program? Please tell us in how many sessions you plan to show the documentary, if not in one sitting. *

Do you have a budget for classroom materials? Please explain why a free or reduced-price copy is important for your work. *

Are you able to help the Subjectified team develop supplementary materials for others working in your field? Please describe the materials that you would be able and willing to help with. While this is not required, we will give particular consideration to educators who can help with outreach materials. *

(e.g. writing or giving feedback for lesson plans, professional guidelines, reviews for a blog or peer journal related to your field)

Will you need permission to use Subjectified? From whom? Have you secured this permission, or, if not, what additional steps will be required to do so? *

Please indicate if you may be unable to secure permission to use Subjectified in the ways you have described, and what your alternative plan will be in that case.

When do you hope to use Subjectified and by when will you need to know the result of your application? *

If you receive a DVD through the donor match program, will you be able to write a prompt "thank you" postcard? *

Please indicate if there is any reason you will need to remain anonymous to the donor, or to refrain from identifying your institution.

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