Applicant Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Number

Country

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###

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Genre *

Your film must be related to a category below.

Poetry Film

Videopoetry

Essay Film

Animated Poetry

Experimental Film or Video

Filmmaker / Director / Media Artist *

First Name

Last Name

Poet / Writer *

First Name

Last Name

Select the resources needed to complete your project: *

Post Production: Sound (voice over, music, and mastering)

Post Production: Editting

Subtitling and/or Closed Captions

Transcription and/or Translation

Film Print or Video Duplication