Application
to Establish a Docudays UA Film Club

E-mail

Password

Password again

Name of the organization applying to establish a film club

Links to your organization’s online resources (website, Facebook, Twitter, Instagram, etc.)

Your organization’s area of work and mission

Briefly describe 2–3 events your organization organized for the benefit of the local community over the past year. Include links to media coverage, if available.

What outcomes do you expect from running the film club?

The target audience for your planned film club

Name of your organization’s contact person

Contact person’s phone number

Contact person’s email address

Are you aware of any human rights organizations in your city or region? If so, please name them.

Do you have experience working with regional representatives of the Docudays UA International Human Rights Documentary Film Festival?

Information on film club
specify the preferred location of the film club

Organization name

Address

Premises

Own Rented

Number of seats

Planned frequency of film club sessions

Equipment

Availability of multimedia equipment

Moderator

Name of moderator

Experience in conducting human rights classes / participation in trainings of We Understand Human Rights All-Ukrainian educational program and / or Docudays UA seminars, trainings

Yes No

Other seminars, trainings (specify the organizer and title of the event)

Repeat the moderator's full name and briefly describe their professional and/or civic experience, skills useful for running a film club, and their motivation to create and develop the film club.

Application to Establish a Docudays UA Film Club

Information on film club specify the preferred location of the film club

Equipment

Moderator

Application
to Establish a Docudays UA Film Club

Information on film club
specify the preferred location of the film club