EDUCATION BOOKING FORM
Please fill out this form if you are interested in hosting a webinar, workshop, or partnering to create a mini course with Black Ohio Film Group. This information will be used to propagate invitations, our visiting speakers' web pages, news releases, and other material used to promote our speakers.
Name
*
First Name
Last Name
Pronouns
Email
*
example@example.com
Role in Film:
*
Bio:
*
Tell us about yourself
Links to film-related work:
*
Instagram:
Webinar, Workshop, or Mini Course?
*
Webinar (Virtual)
Workshop (In-person)
Mini Course (Online, Self-Paced)
Title of webinar, workshop, or mini course:
*
Description:
*
Estimated duration of lesson:
Example of Previous Work (PDF or Word):
We have permission to post your work on our website and related websites:
*
Please Select
Yes
No
Earliest Availability:
*
/
Month
/
Day
Year
Date Picker Icon
Rate per hour
*
Do you consent to your photo being taken?
*
Please Select
Yes
No
Do you consent to the event being recorded?
*
Please Select
Yes
No
Do you consent to live streaming via Zoom or YouTube?
*
Please Select
Yes
No
Any accommodations needed?
Please verify that you are human
*
Submit
Should be Empty: