Stimulus Package Entry Form

Copy the text below and paste it into an e-mail with the subject-heading "Stimulus Package" to: Nicholas.Wiesinger@asu.edu  
Fill out all of the fields and send the e-mail.


ENTRY FORM

Please fill in the following entry form and email it with the subject heading “Stimulus Package” to the following address:

Nicholas.Wiesinger@asu.edu

Submitted Video URL:

TITLE:

YEAR OF PRODUCTION:

DURATION:

colour              [   ]      black and white    [   ]           

With sound    [   ]       without sound      [   ]

INITIAL RECORDING FORMAT:

PROJECTION FORMAT:

CREDITS:

Direction: 

Photography:

Audio:                                                

Production:

Editing:

Other:

PARTICIPATION OF THIS WORK IN OTHER FESTIVALS [use additional page if needed]:

SUMMARY* [50 words. Use additional page if needed]

SHORT BIOGRAPHY * [50-100 words. Use additional page if needed.]

SUBMITTED BY:

First Name:

         

Last Name: 

Street Address:       

City, State: 

                                                         

Zip Code: 

                                                                  

Telephone:

Web page:

                                                                   

E-mail:

                                                                    

How did you learn about SAV’s Stimulus Package?

Signature:                                                                                    Date: