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Sign up to host a MICROPLASTIC MADNESS screening
You can host a virtual or live/in-person screening!
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Email
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Your email
Name of key contact person
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Your answer
Email address of key contact person
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Your answer
Best phone number for key contact person
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Your answer
Host organization name
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Your answer
Host organization street address, city, state/region and zip code
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Your answer
Type of host organization
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Non-profit (501 c3)
Educational - public K-12 (US) / Primary and Secondary School
Educational private
Educational School District - public K-12 (US) / Primary and Secondary School District
Higher Ed - public
Higher Ed - private
Library
Business
Government agency
Other:
If you are an US "Educational - Public K-12" organization, are you a Title 1 school?
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Choose
Yes
No
Not an educational - public K-12 school
Not in the US
Not sure
Organization website
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Social Media handles
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Is your screening synchronous (simultaneously viewed from the same host screen) or asynchronous (individually viewed at one's own pace)?
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synchronous (simultaneously viewed from the same host screen)
asynchronous (individually viewed at one's own pace from a shared link)
Other:
Are you interested in receiving an additional link for the Spanish, Mandarin Chinese, Japanese, Russian, German (subtitle & dub), or English subtitled versions of the film for your event?
No subtitles
Spanish
Mandarin Chinese
Russian
Japanese (subtitles)
Japanese (dub)
German (subtitles)
German (dub)
English (closed captions)
Type of event (Select all that apply)
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Virtual event
Live, in-person event
Educational - K-12 (US) / Primary and Secondary school, classroom
Educational - K-12 (US) / Primary and Secondary school, family event
Higher Education
Virtual Conference
Professional Development
Other:
Required
What is your preferred date(s) and time(s) for hosting your screening?
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What is your time zone?
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How many screenings will you host?
*
Your answer
Name of event
Your answer
Number of expected viewers
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Your answer
Audience (Check all the apply)
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Children (age 11 and younger)
Teens
Young adults
Teachers
Parents
Community Members
Environmentalists
Policy Makers
Activists
Other:
Required
Are you charging a fee for this screening?
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Free
Admission
Suggested donation
If you are charging admission or "suggested donation," what is the price for a ticket? (If free, enter "N/A")
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Your answer
How did you hear about our film?
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Your answer
Are you planning a post-screening panel or Q&A?
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Yes
No
Maybe
If so, are you interested in someone from our Cafeteria Culture team joining the panel?
Your answer
Do you have any questions about a post-screening panel or Q+A? If so, explain.
Almost done!
Screening Fees, please check one
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Private K-12 (US) / Primary and Secondary School - $200
Public K-12 (US) / Primary and Secondary School (NON-Title 1 (US) / NOT an under-resourced school) $100
Public K-12 (US) / Primary and Secondary School (Title 1 (US) / under-resourced school) - Free!
Public K-12 School District (NON-Title 1 (US) / NOT an under-resourced school district) - $300
College/University - $200
Non-profit Organization - $100
Community Group - $100
Public Library - $100
Corporation or Businesses - $500 - $1000
Government Agency - $100
I'm a student
Other:
We offer free Microplastic Madness screenings to K-12 schools who commit to one of the following plastic-informing or plastic reduction actions.
(
Choose as many as apply.)
We have resources to help you! Please let us know if you'd like us to send them to you.
I am not interested in this free screening opportunity
I am not affiliated with a K-12 school
Plastic waste audit in cafeteria, community, beach or elsewhere
Plastic-free Lunch Day or similar action
Creative messaging/art/theater campaign to educate others about plastic harms
Action to switch from disposable foodware to non-plastic REUSABLE foodware
Other: Please propose an action and ask us
Other:
When will you be leading/conducting your action? (If not interested, enter "N/A")
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Please share additional details and comments here.
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