ReelLIFE SCIENCE @ HOME Application Form
Please fill out the Application Form below so your video can be considered for the ReelLIFE SCIENCE @ HOME video competition 2020. Videos will be shortlisted by a team of scientists and science students, and voted on by the public. Prizes will be awarded to the school or youth organisation named below. Best of luck!
SECTION 1: YOUR SCHOOL OR YOUTH ORGANISATION
Tell us about the school or youth organisation you are representing with your ReelLIFE SCIENCE @ HOME video.
School or Youth Organisation
With this entry, are you representing a school or youth organisation?
School or Youth Organisation Name
School Roll No.
For Youth Organisations, please enter 'YO'
Teacher/Youth Worker Name
We may need to be able to contact an adult (teacher/youth worker) about your video. Please do not use your own name unless you are a teacher or youth worker.
Teacher/Youth Worker Email
We may need to be able to contact an adult (teacher/youth worker) about your video. Please do not use your own email address unless you are a teacher or youth worker.
Teacher/Youth Worker Phone
We may need to be able to contact an adult (teacher/youth worker) about your video. Please do not use your own phone number unless you are a teacher or youth worker.
Number of Students/Youth Members Involved
Tick all classes/years involved in making the video
Age range of youth members involved
Enter age range of youth member(s) involved in making the video (e.g. 11-14)
Address - Street
Please enter the address of your school or youth organisation. Do not enter your home address!
Address - Town
Address - County
Twitter (e.g. @ReelLifeScience)
Optional. Leave blank if your school or youth organisation does not use Twitter.
Website or Social Media
Optional. Leave blank if your school or youth organisation does not have a website or social media page
SECTION 2: YOUR VIDEO
Tell us about the short science video you've made for ReelLIFE SCIENCE @ HOME
Healing the Body
How Things Work
Science and Me
Science in Space
Science on the Farm
Please select the theme your video best falls under, e.g. is it a video about Climate Action! or How Things Work? If you are not sure, just select Science and Me!
Give your video a good name to differentiate it from others.
Video YouTube Link
Please make sure the link to your video is working and the YouTube video privacy settings are set to 'PUBLIC'. Videos set to 'PRIVATE' or 'UNLISTED' may not be viewable and cannot be included. This is REALLY important!!!
Copyrighted Material Included?
Please tick 'No' to confirm that copyrighted material (images, music, sound recordings, video clips (e.g. TV, movies, online videos) etc.) has not been used without permission in your video. Please use royalty-free or original music in your video.
Parental Consent received?
Please tick 'Yes' to confirm that all necessary permissions and releases from all persons appearing or identified in the video or any associated photos/still images have been obtained.
Agree to Terms & Conditions?
Click 'Yes' to confirm you have read and agreed to the Terms and Conditions (http://reellifescience.com/teachers-tips/terms-and-conditions/)
SECTION 3: ALMOST THERE
Help us make ReelLIFE SCIENCE @ HOME even better in the future! Your answers will not affect the outcome of the competition.
How did you first hear about ReelLIFE SCIENCE @ HOME?
We participated previously
Traditional Media (Newspaper, Magazine)
If 'Other' please specify
e.g. name of newspaper, website, etc.
TAKING PART IN ReelLIFE SCIENCE @ HOME...
...has made me more interested in STEM.
...has improved my knowledge of STEM.
...has improved my communication skills.
...has improved my video production skills.
Please use this box for any feedback you would like to give us about ReelLIFE SCIENCE @ HOME.