ConnectHER Fellowship Application

Email Address

First Name

Last Name

Phone Number

Country

City / Town

Gender

Title(s) & Year(s) of your CHFF submission(s)

Did you receive any awards from ConnectHER?

Yes
No

If yes, please specify (Short answer)

Link to your past CHFF film(s) (if available)

Have you created films or media outside of CHFF?

Yes
No

If yes, please describe and/or provide links

Have you participated in other ConnectHER events?

Yes
No

If yes, please describe briefly

Why do you want to be a ConnectHER Fellow?

What does filmmaking mean to you personally?

How will this fellowship help your community?

Where and how would you conduct your workshops?

Do you have reliable internet access?

Yes
No

Have you ever taught or mentored others before?

Yes
No

How will you ensure 70% of attendees are female?

Are you available for virtual training sessions?

Yes
No

Will you be able to submit all required docs?

Yes
No

Do you already have access to equipment or space?

Yes
No

Do you consent to share media from workshops?

Yes
No

Share link to 1-min intro video about you

Can you teach 5 mandatory workshops (12 hr)?

Yes
No

I confirm the information above is accurate.

Yes

Signature (typed name)

ConnectHER Fellowship Application

Personal Information

ConnectHER Background

Motivation

Workshops

Commitment & Availability

Media & Consent

Workshop Delivery Commitment

Final Declaration