Screening Request Form 1 Current Step 2 2 Step 3 3 Step 4 4 Complete Status - Select -ActiveFulfilledPass Notes What is the name of your film screening event? Which film would you like to screen for your audience? - Select -Oliver Sacks: His Own LifeRise of the MammalsOur GorongosaThe Serengeti RulesBackyard WildernessInventing TomorrowI Contain MultitudesThe FarthestSecond GenesisThe Gene DoctorsAmazon AdventureCan Alzheimer’s Be Stopped?The Lucky SpecialsSpillover - Zika, Ebola & BeyondYour Inner FishVaccines - Calling the Shots How would you best describe your organization? Please select all that apply? School/College Theater Museum Library Film Festival Community Center Conference/Convention Other… Enter other… Is this event in the United States? If no, please provide details and a representative from the Studio will follow up. Yes, this screening is in the United States Other… Enter other… What is the proposed date of the screening event? Please select below only if your event has a scheduled date. If your event date is flexible, you can leave this field blank. How many guests do you expect to attend the film screening? 50-100 100-500 More than 500 Is this a private screening or is it open to the public? Public Private Who is the intended audience for your screening? Please tell us a bit more about your proposed event; for example is it only a film screening, does it include a panel or discussion, or is it part of a larger initiative?