Lipins Grant Application Form

Filmmaker's Name *primary contact for the project

Email *

Phone *

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Filmmaker's Bio *

Write a short bio about your filmmaking experiences and goals.

How did you learn about the Pete Lipins Filmmaker’s Grant? *

Title *If this is your first project and no sample work is available, simply state so in the Title field.

Link to Work Please include "http://" to be accepted as valid.

Information about title

Please include password if required.

Title

Link to Work Please include "http://" to be accepted as valid.

Information about title

Please include password if required.

Sign by typing your name *I certify that I an a member in good standing of Nebraska Independent Film Projects, Inc., and that the information in this application, including all attached and supporting materials, is true and correct to the best of my knowledge.

NIFP