I am Only Human Filmmaking Course Enrollment Form - PFS

Filmmaking Form

First Name

Last Name

Address

City

Zip Code

Country

Referer / Organisation

Which service / organisation do you attend: (if applies)

Why do you want to take this course?

Are there any particular areas you want to work on?

Any filmmaking experience?

How did you hear about this course?

Do you have any dietary requirements?

Do you have any access requirements we should be aware of? Please give details

Any Learning Barriers or Health problems we should know?

Any information we need to know?

We understand the course time-frame: September/October Tuesdays 10.30am-1pm and 2
filmmaking days (TBC) and I am ready to commit for these timelines. I consent to my
personal data is shared and stored securely by Portsmouth Film Society. This will not be
shared with a third party and the data will be deleted at the end of the Recovery Film
Festival.

Signature

Date

Support Workers name (if applicable)

PFS Equal opportunities monitoring form for the student: PFS aims to ensure that training is available to everyone regardless of age, gender, race, ethnic or national origin and disability.
This information is required by the funders of our training projects so please do take the time to complete this form. The information will be used to compile anonymous statistical information only.

I am

Do you identify yourself as disabled?

Age:

I would describe my ethnic origin as: