NEO - North-East Observations Participant's Survey DATA OF THE PARTICIPANT Name: Surname: Gender: MF E-mail address: The generated PDF of the Entry Form will be delivered to this email address. Phone number: (00XX XXXXXXXXX) Date of birth: (DD.MM.YYYY) Nationality: Country of residence: City of residence: INFORMATION ABOUT PARTICIPANT Level of knowledge of languages: English 0A1A2B1B2C1C2 Polish 0A1A2B1B2C1C2 Ukrainian 0A1A2B1B2C1C2 Lithuanian 0A1A2B1B2C1C2 Preferred interests: script writtingfilm directionfilm productionfilm criticismacting A few words about me: 0/500 Additional information: (allergies, special needs) 0/500 FILM EXPERIENCE Did the audiovisual materials you've created have public screenings? were broadcast on TVwere shown in the cinemawere published online by schools, organizations or cultural institutionswere shown during informal public screeningswere published online by me ex. on the YouTubewere never shown in public Were your audiovisual projects on a professional or amateur level? professionalinstitutionaleducationalamateur What is the average length of the audiovisual projects you co-organized? over 60 minutesover 30 minutesover 10 minutesless than 10 minutes What is the total number of the film projects you have co-organized? What is the overall time of your activity in the film field? ATTACHMENT An idea for a short etude or photo series raising one of the following issues: 1. cultural environment of North-East Europe, 2. history of North-East Europe, 3. social relations between Lithuania, Poland and Ukraine 4. coexistence of cultural minorities, 5. material and non-material cultural heritage of North-East Europe. 0/600 The generated PDF will be delivered to the email address of the person filling the Participant's Survey. "I hereby confirm that I have read The Regulations of the NEO - North-East Observations project.. "I agree to participate in the NEO - North-East Observations project project, accept The Regulations of the NEO - North-East Observations project and do agree to personal data processing and presentation for the purposes of the recruitment process and participation in the project, in accordance with Regulation (EU) 2016/679 Of The European Parliament And Of The Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation)." Newsletter: "I do agree to receiving monthly invitations and information on educational and cultural projects (eg. competitions, workshops, festivals, films reviews) implemented or recommended by the Foundation for the Intangible Cultural Heritage in Poland (sent contents do not contain commercial information) to the e-mail addresses indicated herein." yesno