PARTICIPANT'S SURVEY

DATA OF THE PARTICIPANT

Name and surname:

Gender:
malefemale

E-mail address:
The generated PDF of the Participant's Survey will be delivered to this email address.

Phone number: (00XX XXXXXXXXX)

Date of birth: (DD.MM.YYYY)

ID card number/passport:

Registered address: (street, building, city and country)

Nationality:

Country of residence:

INFORMATION ABOUT PARTICIPANT

Level of knowledge of languages on a scale from 1 to 5: (1-low, 5-high)
English 12345
Polish 12345
Russian 12345
Ukrainian 12345
Italian 12345
French 12345
Maltese 12345
other 12345

Preferred interests:
film promotionfilm distributionfilm productionfilm criticismjournalismproduction organization

A few words about me:

Additional information: (allergies, special needs)

FILM EXPERIENCE

Did the audiovisual materials you co-organized have public screenings?
were broadcast on TVwere shown in the cinemawere published online by schools, organizations or cultural institutionswere shown during informal public screeningswere published online by me ex. in the YouTubewere never shown in public

Were your audiovisual projects on a professional or amateur level?
professionalinstitutionaleducationalamateurish

What is the average length of the audiovisual projects you co-organized?
over 60 minutesover 30 minutesover 10 minutesless than 10 minutes

What is the total number of the film projects you have co-organized?

What is the overall time of your activity in the film field?

After completing and submitting the Participant’s Survey, the browser window will display a completed PDF form that can be saved on your computer. The generated PDF will also be delivered to the email address of the person filling the Survey.

"I hereby confirm that I have read The Rules and Regulations of the INTERFILMLAB 3.0 Project.

"I agree to participate in the INTERFILMLAB 3.0 project, accept The Rules and Regulations of the INTERFILMLAB 3.0 Project and do agree to personal data processing and presentation for the purposes of the recruitment process and participation in the project, in accordance with Regulation (EU) 2016/679 Of The European Parliament And Of The Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation)."

Newsletter:
"I do agree to receiving monthly invitations and information on educational and cultural projects (eg. competitions, workshops, festivals, films reviews) implemented or recommended by the Kosmopolis Institute (sent contents do not contain commercial information) to the e-mail addresses indicated herein."
yesno