Abeirto Media Fund Application 2020: Term #1
Email *
Name (Legal Name/Artist Name) *
Mailing Address (must be in Pennsylvania) *
Phone
Websites: Film Work (Vimeo or YouTube); Activism; Essays. *
Short Bio: *
What is your role in the production? *
Social Media Handles: Instagram, Twitter, LinkedIn
The Project you are Applying for: Title, Length, Link to Work, and Short Description) *
What kind of project are you making?
Clear selection
Production/Distribution Partners: Individuals and/or Institutions *
Total Project Budget *
What will the funds be Used for?
Clear selection
What areas do you need mentoring with?
Please read and check the following: *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy