Truth to Transformation Film Screening Request Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *TitleOrganization Name *State / County *Email Address *Phone Number and Extension *Preferred Date and Time for your Screening *DateTimeAre you requesting to host an in-person or virtual screening? *VirtualIn-personHybridWhat is the location of the screening (if in-person, location name and address; if virtual, indicate platform, i.e. Zoom, MS Teams, etc.) *Please indicate what level of support you would need from Truth to Transformation? *Screening OnlyScreening + Conversation ToolkitScreening + Conversation Toolkit + Post Screening Panel ConversationHow many people do you expect to attend? * or Who of Who is your audience? *How do you intend to use the screening? (i.e. classroom activity, community screening, church group, etc.What is the relevance of Truth to Transformation to your agency/audience?Any additional information you can share this time?Submit
