Film Student Entry
Please submit up to five (5) short films. Please email file or link to: akongkousonh@quadcityarts.com (If file is large, 20 MB or larger, please use Google Drive, Dropbox, or WeTransfer.com)
School's Information
Name of High School
*
School Phone Number
*
Please enter a valid phone number.
Teacher's Information
Teacher Name
*
First Name
Last Name
Teacher's Home or Cell Number
*
Please enter a valid phone number.
Teacher's Email
*
example@example.com
Student Entry #1
Student's Name
*
First Name
Last Name
Student's Phone Number
*
Please enter a valid phone number.
Student's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the gender identity of the student?
*
Please Select
Female
Male
Non-binary
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
What is the ethnicity of the student?
*
Please Select
White
Black or African American
Latino or Hispanic
Asian
Native American
Other
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
Student's Grade in School (Grade 9-12)
*
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Artwork Title
*
Price/NFS
*
Student Entry #2
Student's Name
First Name
Last Name
Student's Phone Number
Please enter a valid phone number.
Student's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the gender identity of the student?
Please Select
Female
Male
Non-binary
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
What is the ethnicity of the student?
Please Select
White
Black or African American
Latino or Hispanic
Asian
Native American
Other
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
Student's Grade in School (Grade 9-12)
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Artwork Title
Price/NFS
Student Entry #3
Student's Name
First Name
Last Name
Student's Phone Number
Please enter a valid phone number.
Student's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the gender identity of the student?
Please Select
Female
Male
Non-binary
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
What is the ethnicity of the student?
Please Select
White
Black or African American
Latino or Hispanic
Asian
Native American
Other
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
Student's Grade in School (Grade 9-12)
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Artwork Title
Price/NFS
Student Entry #4
Student's Name
First Name
Last Name
Student's Phone Number
Please enter a valid phone number.
Student's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the gender identity of the student?
Please Select
Female
Male
Non-binary
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
What is the ethnicity of the student?
Please Select
White
Black or African American
Latino or Hispanic
Asian
Native American
Other
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
Student's Grade in School (Grade 9-12)
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Artwork Title
Price/NFS
Student Entry #5
Student's Name
First Name
Last Name
Student's Phone Number
Please enter a valid phone number.
Student's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the gender identity of the student?
Please Select
Female
Male
Non-binary
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
What is the ethnicity of the student?
Please Select
White
Black or African American
Latino or Hispanic
Asian
Native American
Other
Prefer not to answer
Demographic information is for internal use only and will not be given to judges or be used for judging purposes.
Student's Grade in School (Grade 9-12)
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Artwork Title
Artwork Medium
Price/NFS
SUBMIT
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