SixTwelve Resident/Advocate Interview Scheduling Form

Hello and thank you for being a SixTwelve resident or advocate for our residency program sometime during its pilot phase, 2015-2018!

Thanks to you, we have been able to build a cultural bridge between Oklahoma City and Savannah and to serve both communities in various ways. We couldn't be more grateful. We've learned a lot from you and want to document the ways that you have contributed through your residency and/or support.

I will be in Savannah next month and will have a film maker, Mat Miller, with me. We will be available to conduct interviews July 6th -10th (morning only on the 10th). Please fill out this form by June 22nd if you are willing to be interviewed so that we can begin to make a filming schedule and also fit in a little time to explore the area for B roll. I will contact you as soon as I have heard from a majority of the people receiving this to set everything up and confirm times. We will have releases to sign at the time of the interview and will discuss any extra instructions you may have about the ways you would like your work to be portrayed through this documentation. 

Again, thank you for everything you've done and I hope to hear from you and see you while I'm in the 912. If you have any questions or concerns, please feel free to reach out. 

Sincerely,

Amy Young

Name *
Name
Address *
Address
Phone *
Phone
Are you willing to let us interview you in your studio or work place? If so, please give the address below and any instructions we may need to meet you there.