Native Impact Screening Form

NATIVE Impact Screening Form

Name

First Name

Last Name

Email

Tribal affiliation

Please describe your organization:

What kind screening are you interested in attending or hosting?

Virtual

In Person

If you are interested in an in-person screening, which do you have access to? Check all that apply.

DVD Player

Internet Streaming Capability

Date of Screening Event?

Estimated number of attendees?

How did you find out about the Inhabitants Film?

Listserv

Friend/Colleague

Social Media

Film Festival

Other