As A Jewish Man Interest Form — Jewish Men as Allies

Thank you for your interest in hosting a screening of As a Jewish Man!

Please complete the form below.

JWI will provide a screening kit, which includes links to the film, discussion guide, social media toolkit, and evaluation. (Evaluations are required for all screenings.)

Name

First Name

Last Name

Email

Phone

(###)

###

####

Organization

(name of your organization, congregation, school, community group, company, or other setting for this screening)

City & State

Who is your target audience?

Please share any relevant demographics.

When do you plan to show the film?

(If you’re not sure, please give an approximate date.)

MM

DD

YYYY

Estimated attendance for your screening

How did you hear about this film?

Why do you want to host a screening? What do you hope your audience will gain from the film?