Contact Name *

First Name

Last Name

I am requesting the screening for my organization, which is a:

Leave blank if N/A

Small nonprofit (gross receipts under $1 million)

Large nonprofit (gross receipts over $1 million)

Small academic Institution (public school)

Large academic institution (federal/privately funded)

Government organization

Small private business (gross receipts under $10 million)

Large private business (gross receipts over $10 million)

Corporation

What type of screening(s) are you requesting? *

One-time non-public screening (such as for organization staff /board, or internal group)

One-time public screening

Other (please detail your request below)

Are you interested in holding a facilitated presentation/conversation about the film, tailored to your organization, with the director? (Virtual/in-person) *

This is an additional service package with fees depending on how you would like me to work with your organization/group.

Yes, we would like the director to be present for a Q&A after a screening

Yes, a one-time facilitated conversation

Yes, a longer workshop and discussion

Yes, additional consulting around the concepts in the film

Yes, we would like the director to speak at our conference/event

No (you may exit the form and watch the film freely on youtube)