Application Form - Standing Rock Short Film & Video Festival

1) Print out and complete this application.

2) Enclose your film(s)/video(s).

3) Enclose a S.A.S.E. if you would like your materials to be returned.

3) Enclose your entry fee ($10 per film/video for Ohio residents, $15 per film/video for non-Ohio residents).

4) Mail your materials to:
Standing Rock Cultural Arts
257 North Water Street
Kent, OH 44240
info@standingrock.net

Address

City, State, Zip Code, and Country

Phone number

Email address

How did you find out about this event?

SubmissionOne

Title

Medium

Length of film

Information that may be used in the program or in promotional materials

SubmissionTwo

Title

Medium

Length of film

Information that may be used in the program or in promotional materials

SubmissionThree

Title

Medium

Length of film

Information that may be used in the program or in promotional materials

SubmissionFour

Title

Medium

Length of film

Information that may be used in the program or in promotional materials

AdditionalInformation
Feel free to write any additional information below or to attach additional pages.

Entry Application
Please fill out completely

Name

Address

City, State, Zip Code, and Country

Phone Number

Email Address

How Did You Find Out About The Exhibition?

SubmissionOne

Title

Medium

Information that you would want listed in the program or in promotional materials

SubmissionTwo

Title

Medium

Information that you would want listed in the program or in promotional materials

SubmissionThree

Title

Medium

Information that you want listed in the program or in promotional materials