Application Form - Social Film Making 2009-10, Distance Learning

SILVER LINING CREATION FUNDAMENTALS OF SOCIAL FILMMAKING- DISTANCE LEARNING PROGRAMME (12 Weeks)

APPLICATION FORM 2009/10

Please read Applicant’s Guide thoroughly before you proceed! IMPORTANT REMARK: This application form should be completed in English only! SECTION 1: PERSONAL DATA

Insert and attach a Photograph here

1.1 Full Name: ___________________________________________________ 1.2 Gender (Tick x) ____ Male

____ Female

1.3 Date of Birth (Day/Month/Year) ___ ____ _______ Age _____ 1.4 Nationality: ________________________ 1.5 Country of Residence: ________________________ 1.6 Marital Status (Tick x) ____ Single

____ Married

1.7 Current Mailing Address: __________________________________________________________________ Contact Telephone ________________________ E-mail Addresses _________________________________ ___________________________________ Website/Blog (if any)__________________________________________________________________ SECTION 2: EDUCATIONAL BACKGROUND 2.1 Colleges/Universities Attended (Give names, course/program of study pursued, dates and academic qualifications attained, beginning with the most recent)

Name of School/Institution

Course/Program of Study

Years Attended

Qualification Attained

2.2 Other Programs / Courses / Special Training Taken (If Applicable) ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________

SECTION 3: EMPLOYMENT RECORD OF RECENT FIVE YEARS Name of Employer

Post Held

Duration

SECTION 4: LANGUAGE SKILLS Mother tongue: ________________________________________________________________________ Indicate the degree of your knowledge: 1 = native speaker / 2 = excellent / 3 = good / 4 = elementary / 5 = no knowledge English____________ Other Languages (Please Specify) ________________ _________________ ____________________ _______________________ The applicant must be proficient in the language of the training programme, i.e. English. Command of the English language is a very important criterion for admission. All applicants must be able to prove their proficiency in English. Please mention your English language taste scores or give us a credible reason as to how you can follow the training modules in English. ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ SECTION 5: YOUR PUBLICATIONS/ PROJECTS (If applicable) Please mention if your work has been published in any journals or websites. Also tell us about your other notable publications such as your university dissertation etc. _______________________________________________________________________________________

______________________________________________________________________________________ ______________________________________________________________________________________

SILVER LINING CREATION FUNDAMENTALS OF SOCIAL FILMMAKING- DISTANCE LEARNING PROGRAMME (12 Weeks)

APPLICATION FORM 2009/10

SECTION 6: COMPUTER SKILLS & FILMMAKING EQUIPMENTS Do you have a video capturing device? ____Yes

____No

If you answer yes, please mention the name and model number of your device as well. Digital video cameras, still digital cameras, mobile phones and even web cameras can be used for video shooting. _________________________________________________________________

Are you familiar and be able to use some computer applications or software that can be used for image or video enhancing? If you do, please enlist their name below. _______________________________________________________________________________________ _______________________________________________________________________________________ (Please note that availability of any devices isn’t a part of selection criteria)

SECTION 7: ANNEXES Please answer both questions separately and attach with your application

A. YOUR MOTIVATION AND FUTURE PLANS (Max 400 words) -

Why do you wish to attend this programme?

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Describe your motivation for attending this programme.

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Include a description of your future plans and career aspirations. Explain the importance of the programme in this regard.

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Elaborate on how you will use the acquired skills/knowledge upon completion of this training. Explain how the acquired knowledge is useful to your community or organisation.

B. An Essay (Max 500 words) Select a social issue, a remarkable person, a problem or a significant event from your community, nearby area or your country. Explain why the topic that you have chosen is important and why the world should know about that. Also explain how can other communities learn or benefit from the issue you have raised and discuss about the means (such as videos, books, articles, journals, internet etc.) that could be used in order to disseminate the importance of chosen topic.

SECTION 8: DECLARATION I certify that my answers are true and complete to the best of my knowledge. I understand that any false or misleading information in my application may result in my dismissal from the training programme and in possible termination of my application. Furthermore, I allow SLC and its partner organizations to use excerpts from my submissions for not-for-profit purposes and publish my name on SLC’s website if I am selected. Date and Place: ___________________________________________________________________ Name in Block Capital Letters: ________________________________________________________

SECTION 9: SUBMISSION -

We prefer pdf formats, so we recommend you use a pdf converter (such as www.dopdf.com), and convert your application into pdf format.

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Send your application and attachments (in pdf or word format) by email to [email protected]

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All applicants will get a notification once their application is properly received.

Application Deadline 01.08.2009- 31.10.2009 (late applications will not be entertained.) Notification of Selection/Rejection and further information 10-20 December 2009 Further Information A study guide will be sent to all successful applicants with the notice of acceptance. The guide will provide thorough details on teaching, online discussions, assignments and evaluation system. If you still have any questions about the programme or application procedure, don’t hesitate to contact us on the following address. Silver Lining Creation Vuoritie 2C 18, JÄRVENPÄÄ 04400 FINLAND Phone: +358468478608, +358445038008 E-mail: [email protected], [email protected] Web: http://www.silcreation.org