Instituto Nacional de Cine y Artes Audiovisuales (INCAA)
Cinemateca y Archivo de la Imagen Nacional (CINAIN)
Ministerio de Cultura de la Nación, Argentina
Fondazione Cineteca di Bologna, Italia
Fédération Internationale des Archives du Film (FIAF)
L’Immagine Ritrovata – Film Restoration and Conservation
FILM PRESERVATION & RESTORATION SCHOOL LATIN AMERICA
Argentina, 2017
Application Form
March 27th – April 1st
CINEMATECA Y ARCHIVO DE LA IMAGEN NACIONAL - CINAIN
(Buenos Aires, Argentina)
Please fill out in block capital letters or with a typewriter
PERSONAL INFORMATION
Surname:…...... …......
First name:…...... …......
Nationality:…...... …......
Date of birth:…...... …......
Address:…...... …......
Telephone(s):…...... …......
Mobile Phone:…...... …......
E-mail address: …...... …......
PROFESSIONAL INFORMATION[1]
Work experiences
Dates:…...... …......
Occupation or position held:…...... …......
Main activities and responsibilities:…...... …......
Name and address of employer (& mail address): …...... …......
Type of business or sector:…...... …......
Education and training*
Dates:…...... …......
Title of qualification awarded:…...... …......
Principals subjects/
occupational skills covered:…...... …......
Name and type of organization
providing education and training…...... …......
LANGUAGE SKILLS AND COMPETENCES
Mother tongue(s)…...... …......
Other language(s)
Please indicate the following criteria: basic knowledge, intermediate level, advanced level, fluent
Language:
Language:
TECHNICAL SKILLS AND COMPETENCES
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ADDITIONAL INFORMATION
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MOTIVATIONS
Please give below any additional information you may wish to bring to our attention, e.g. your reasons for wanting to attend this course; aspects of archiving you are particularly interested in or wish to learn, etc. (no more than 2,000 characters)
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PRACTICAL INFORMATION
DEADLINE
The deadline for submitting the application form isJanuary 20th, 2017.
Late applications will be rejected.
For logistic reasons all contacts must be established within and not later than January 20th, 2017.
To apply, please send the following documents by e-mail as attachment (.doc or .pdf)
- A fully completed application form.
2.A supporting letter(from the head of an archive, audiovisual institution or organization).
These documents must be sent to the Film Preservation & Restoration School Latin America secretariat by e-mail at .
PARTICIPATION FEE
Participation fee: 1.000 USD
The participation fee includes: registration, daily transport from/to Buenos Aires city center - CINAIN, daily lunch, farewell dinner.
Accommodation is not provided.
If applications exceed the maximum number of participants allowed, a selection will be made. If your application is accepted you must pay your participation fee in advance, and not later than February 24th.
Selected participants who do not pay their fee by the due date will be excluded and replaced by the next eligible candidate in the waiting list.
The minimum number of course participants is 15. In case the number of candidates does not reach this number, the course will not take place.
Notes about Scholarships
Some scholarships will be provided. We will provide you with the detailed information afterwards.
If you wish to apply for a scholarship, please describe below why you should be considered (maximum of 400 words):
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We are currently processing all scholarships and we have not received yet all necessary confirmations. Candidates will be notified of all news in due time.
I certify that the information I have given is true and that I have read and agree to the Film Preservation & Restoration School Latin America – Argentina, 2017 program and rules.
Date
…………………….
For further details please contact:
Film Preservation & Restoration School Latin America
Fernando Madedo
Instituto Nacional de Cine y Artes Audiovisuales - INCAA
Lima 319, Buenos Aires C1073AAG - Argentina
President: Alejandro Cacetta
Gerencia de Asuntos Internacionales
Manager of International Affairs: Bernardo Bergeret
Cinemateca y Archivo de la Imagen Nacional - CINAIN
Organizing delegate: Fernando Madedo
[1]Please copy and paste this chart to list your relevant experiences.