2016 REGISTRATION PACKET
This packet contains all the forms you will need to register for workshops, apply for
scholarships, and raise your own tuition:
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Student Information & Emergency Contact form (page 1 – required)
Workshop Selection & Payment Information form (page 2 – required)
Scholarship Application form (page 3 – optional: use if you’re requesting scholarship aid)
Student Fundraising form (page 4 – optional: use to raise your own funds to attend)
If you are filling out this packet by hand, please write in clear block letters. To submit the form
electronically, save it and send it as an email attachment to [email protected].
Race (Optional):
Student Information:
Please fill out every field.
First and Last Name:
Home Address:
City:
Hispanic or Latino
Native American or Alaska Native
Asian or Asian American
African or African American
Native Hawaiian or Other Pacific Islander
White, non-Hispanic
Multi-ethnic
Unknown/No Response
(This information is only used for statistical purposes. The
Denver Film Society exists for the inclusion of all
regardless of race, disability, color, creed, religion, gender,
age, sexual orientation, gender expression, national origin,
ancestry, citizenship, veteran status, or any other
protected classification. This policy applies to all aspects of
the organization including board membership, paid and
volunteer staff, general membership, audience members,
programs and participants.)
ZIP Code:
Email:
Day Time Phone:
Cell Phone Number:
School:
Emergency Contact:
Grade (going into Fall 2016):
Please list only one adult.
Name of Parent or Guardian:
How did you learn about the Young
Filmmakers Workshops?
Email:
Gender:
Day Time Phone:
Age:
Cell Phone Number:
For more info, payment questions, or to return this application please contact:
Denver Film Society – 1510 York St, 3rd Floor, Denver, CO 80206
Email: [email protected]
Page 1 of 5
Please select which workshop(s) you plan to attend:
Introductory Workshop, Section A
June 13-24, weekdays 8:30am-2:30pm, at Denver School of Arts (7111 E. Montview Blvd, 80220)
Introductory Workshop, Section B
June 27- July 8, weekdays 8:30am-2:30pm, at Denver School of Arts (7111 E. Montview Blvd, 80220)
Masters Workshop
July 11-22, weekdays 8:30am-2:30pm, at Denver School of Arts (7111 E. Montview Blvd, Denver, CO 80220)
CinemaQ Film Festival Workshop ($400)
July 21-24, weekdays 4:00pm-7:00pm, weekends 11:00am-5:00pm at Sie FilmCenter (2510 E Colfax Ave., 80206)
Focused Intensives Workshop. Also select your area of focus:
acting
directing
writing
production design
post-production
July 25-August 5, weekdays 8:30am-2:30pm, LOCATION TBD.
Cinelatino Film Festival Workshop ($400)
September 22-25, weekdays 4:00pm-7:00pm, weekends 11:00am-5:00pm at Sie FilmCenter (2510 E Colfax Ave.,
80206)
39th Annual Denver Film Festival Workshop ($400)
November 2-13, weekdays 4:00am-7:00pm, weekends may vary in times. LOCATION TBD
Tuition & Payment Information:
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$800 per workshop.
$400 per Festival workshop
Enroll in 2 or more workshops and receive a $200 discount
All enrollees will also receive a year-round DFS Student Membership valued at $25
Payment:
Check Enclosed
Credit Card (Visa, Mastercard, American Express)
Card Number:
Expiration Date:
3-Digit Code:
Amount Authorized:
Signature:
I would like to Apply for a Scholarship (see page 3)
I would like to raise my own tuition via Student Fundraising Form (see page 4)
If applying for the Masters Workshop or Focused Intensive Workshop, please respond to the
following questions:
(1.) What is your past filmmaker experience/film education?
For more info, payment questions, or to return this application please contact:
Denver Film Society – 1510 York St, 3rd Floor, Denver, CO 80206
Email: [email protected]
Page 2 of 5
(2.) Please list any equipment you have worked with in the past.
For more info, payment questions, or to return this application please contact:
Denver Film Society – 1510 York St, 3rd Floor, Denver, CO 80206
Email: [email protected]
Page 3 of 5
YOUNG FILMMAKERS WORKSHOPS – SCHOLARSHIP APPLICATION
DUE THURSDAY, MAY 5th
If you are applying for a scholarship to attend Young Filmmakers Workshop please provide
the following information by Thursday, May 5th in order to be considered for financial
support. (Scholarships will be awarded by Friday, May 27th).
Number of children in your family:
Please provide the following information about the student:
1. Honors, Scholarships and Awards
2. Work Experience
3. Film Education/Prior Film Experience
Please include the following with this application:
1. REQUIRED: A personal essay from the student (not to exceed 1 page, typed, singlespaced, 12-point font) Explain why they want to take a workshop and what about their
experience and goals makes them a good candidate for a scholarship.
2. REQUIRED:
Check if student qualifies for free or reduced lunch. Then, include documentation
that shows your qualification for this program.
OR
Check if student does not qualify for free or reduced lunch. Then, include a copy
of the parent/legal guardian’s Federal 1040 tax form from 2014.
3. OPTIONAL: A letter from a parent/legal guardian explaining the family’s financial
situation and need for this scholarship.
4. OPTIONAL: A letter of recommendation from non-family member.
For more info, payment questions, or to return this application please contact:
Denver Film Society – 1510 York St, 3rd Floor, Denver, CO 80206
Email: [email protected]
Page 4 of 5
YOUNG FILMMAKERS WORKSHOPS – FUNDRAISING FORM
Students are encouraged to help raise funds themselves for their day camp experience.
We’ve included a table below that students can use to solicit camp funds from their own networks.
Encourage your family and friends to sponsor your student’s filmmaking dream by helping with tuition
costs.
Scholarships will be awarded by Friday, May 27th. If you don’t receive a scholarship, or only receive a
partial scholarship, you can raise funds to cover the remaining tuition cost before the Workshops
begin.
Student’s Name:
Student’s Fundraising Goal:
(Workshop prices are listed on pg. 2)
To download and print a copy of the brochure, email [email protected].
Name
TOTAL
Amount
CC /
Check
Card/Check #
Exp.
Date
$
For more info, payment questions, or to return this application please contact:
Denver Film Society – 1510 York St, 3rd Floor, Denver, CO 80206
Email: [email protected]
Page 5 of 5
Signature