Part One

Ready. Set. Record. Film Festival Video Submission Form

Question Title

* 1. Does the video address any of the following: living tobacco-free (Leadership), educating others to be tobacco-free (Education) or supporting a tobacco-free community (Prevention)?

Question Title

* 2. Is the video 30-seconds total in length, including a (3) three-second tag at the end for Project Prevent Youth Coalition?

Question Title

* 3. Does the video display any acts of violence, vandalism or the appearance and/or use of any tobacco/nicotine products, smokeless tobacco, real cigarette, e-cigarette or illicit activity? [Note: Any videos that portray acts of violence, vandalism, or use of tobacco products will be disqualified.]

Question Title

* 4. Does the video show the use of real tobacco products, packaging or containers? [Note: Any display of real tobacco products, packaging, or containers will be disqualified.]

Question Title

* 5. If statistics are used, are they relevant, current, accurate and from a trusted source?

T