Educational Licensing Request Form

Educational Licensing Request Form

Please complete this form to request an educational license for our documentary at your institution.
Thank you for your interest in licensing Safe Sets for educational use. To ensure fair and accessible pricing for film programs of all sizes, we use a transparent, data‑driven tiering system based entirely on publicly available metrics, including: 1) Carnegie Classification 2) Tuition level 3) Film program size 4) Percentage of students receiving Pell Grants.

These metrics help us understand the scale and resources of your institution so we can offer pricing that is equitable and sustainable.
Institution Name*
R1/R1 Doctoral University and Research InstitutionsMaster’s College or UniversityBaccalaureate CollegeCommunity CollegeNot sure or Not Applicable
Annual Undergraduate Tuition*
Approximate Number of Film/Media Students or Attendees*
Percentage of students receiving Pell Grants*
Calculated Total Score
LICENSING OPTIONS
3-year license

Tier 1 $1200 Tier 2 $800 Tier 3 $400
1- year license

Tier 1 $600 Tier 2 $400 Tier 3 $200
Contact Person's Full Name*

First NameLast Name
Contact Email Address*
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
School Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred License Duration*
Classroom ScreeningPublic Screening (on campus)Library AccessOther
Estimated audience size at screenings
Additional Comments or Questions
Should be Empty:

Educational Licensing Request Form

LICENSING OPTIONS

3-year license

1- year license