EmailMe Form - ReelLIFE SCIENCE 2026 Application Form

SECTION 1: YOUR SCHOOL OR YOUTH ORGANISATION

Tell us about the school or youth organisation you are representing with your ReelLIFE SCIENCE video.

School or Youth Organisation *

With this entry, are you representing a primary school, secondary school or youth organisation?

School or Youth Organisation Name *

Are you a teacher, youth worker or participant? *

Are you a young person participating in a school or youth group, or an adult assisting with the application?

Teacher/Youth Worker Name *

First Last

We need to be able to contact an adult (i.e. teacher/youth worker) if your video is shortlisted for a prize. Please do not use your own name unless you are a teacher or youth worker.

Teacher/Youth Worker Email *

We need to be able to contact an adult (i.e. teacher/youth worker) if your video is shortlisted for a prize. Please do not use your own email address unless you are a teacher or youth worker.

Teacher/Youth Worker Phone *

We need to be able to contact an adult (i.e. teacher/youth worker) if your video is shortlisted for a prize. Please do not use your own phone number unless you are a teacher or youth worker.

Address – Street *

Please enter the street address of your school or youth organisation.

Address – Town *

Please enter the town address of your school or youth organisation.

Address – County *

Address - Eircode/Postcode *

Please enter the Eircode/Postcode of your school or youth organisation.

SECTION 2: YOUR VIDEO

Tell us about the short science video you've made for ReelLIFE SCIENCE

Number of people involved *

Number of people involved (young people, teachers, youth workers, etc.) in making this video

Class(es)/Year(s) Involved *

Competition Theme *

Please select the theme your video best falls under, e.g. is it a video about Science in Space or How Things Work? If it is a musical number, select Science Song or if you are not sure where it fits, just select Science and Me!

Video Language *

Videos can be in English or Irish

Video Title *

Give your video a good name to differentiate it from others, e.g. 'How Does The Heart Work?' or 'Why Is The Sky Blue?'. It will generally get more views on YouTube too!

Video YouTube Link *

Please double check that the YouTube link you are sharing here for your video is working or it cannot be included in the competition.

Also check that the YouTube video privacy settings are set to 'PUBLIC' or it will not be viewable and cannot be included in the competition.

This is REALLY important!

Copyrighted Material Included? *

No

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 as it may not be accepted. Please use royalty-free or original music in your video.

Parental Consent received? *

Yes

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? *

Yes

Click 'Yes' to confirm you have read and agree to the Terms and Conditions (http://reellifescience.com/teachers-tips/terms-and-conditions/)

SECTION 3: EVALUATION

Help us make ReelLIFE SCIENCE even better in the future. Your answers will not affect the outcome of the competition.

How did you or your teacher or youth worker first hear about ReelLIFE SCIENCE? *

If 'Other' please specify

i.e. where you first heard about us

TAKING PART IN ReelLIFE SCIENCE... *

	Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree
...has made me more interested in STEM.	1	2	3	4	5
...has improved my knowledge of STEM.	1	2	3	4	5
...has improved my communication skills.	1	2	3	4	5
...has improved my video production skills.	1	2	3	4	5

Please use this box for any feedback you would like to give us about ReelLIFE SCIENCE.

Your feedback helps us improve ReelLIFE SCIENCE for future participants, so feel free to tell us what you liked or didn't like. Your feedback will not affect the outcome of the competition.

Unique ID

Data usage

The personal information collected above will be used to send you (or specified teacher or youth worker in the event of a participant filling out this application form) information relating to the ReelLIFE SCIENCE competition. Your details will not be passed on or sold to any third party. Your Personal Data will be processed and kept in accordance with the University of Galway Security and Data Protection Policies and Procedures, copies of which are available on the University website. Details of your data protection rights and contact details for our Data Protection officer are available here:
https://www.universityofgalway.ie/data-protection/