PIFVA Survey

First Name: Last Name:

Email:

Please rate. 1-Lowest Priority, 5-Highest Priority

Networking Parties

1 2 3 4 5

Suggested venue/event type?

Subsidy Grants

I would like to see offered:

Pre-Production Production Post Production
Cash In-Kind

Specifically:

Technical Workshops (lighting, audio, etc)

1 2 3 4 5

Suggestions?

Business Workshops (taxes, fundraising etc.)

1 2 3 4 5

Suggestions?

Member Film Screenings

1 2 3 4 5

Non-Member Film Screenings

1 2 3 4 5

Mentoring (individual or group)

1 2 3 4 5

Other Arts (electronic, new media, etc.)

1 2 3 4 5

Any other suggestions

I would like to:

	Have my name in a directory
	Screen my film
	Lead or organize a workshop
	Be a mentor
	Find a mentor
	Help expand member benefits
	Offer my services for subsidy grants
	Help with mailing parties
	Help with fundraising
	Bring a snack for an event
	Help plan events
	Distribute flyers

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Membership Application
(PDF: 80KB / 1 pages)


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