Cinema & Science Clip Identification Submission Form

JINA Outreach Film Series Program

   Author Contact Information:

Author:

First Name:

Last Name:

Country:

Address:

Street / City

State / Province     Country

Email:

Phone:

          Fax:      

Educational Background:

     If "other", specify:

     

   Film Identification:

Title:

Year:    

Director:

          Film Studio:      

Film Website Address (if available):    

Short
Description
of the Film:

In just a few words ( <100 ), please provide a short description of the film as a whole. Cut and paste your response into the text box, or if you have a longer response, attach a "pdf" file to email us for this and the following questions.


Words remaining:
     

   Science Identification:

DVD Scene or Chapter #:   

Time Index Begin:

     Time Index End:  

Prerequisite:
(What happened just before the scene?)

Short
Description
of the Scene:

Provide a short description of the scene of the clip at issue (<200 words). Cut and paste your response into the text box, or if you have a longer response, attach a "pdf" file to email us.)


Words remaining:
     

   Science Involved:

General Sciences Subject:

           Select:

Particular Scientific Keywords (up to 3):

                                  

Scientific Explanation and/or Relation to Science:


Provide a short description of the science at issue in the scene (<250 words). Cut and paste your response into the text box, or if you have a longer response, attach a "pdf" file to email us.


Words remaining:

Experiments, Examples and Other demonstrative Fun:


Got any great ideas on how to demonstrate the scientific issue discussed? Hands-on scientific play, experiments, observations, photos, simulations, animations, what other ways to evidence or test, demonstrate or exemplify, prove or disprove can you share with others? Cut and paste your response into the text box (~250 words), or if you have a longer response, attach a "pdf" file to email us.)


Words remaining:
     

Check this box if you use the "Email Text" option below.

Email Text: Click here to send an email to us if you have a longer response or a "pdf" attachment.

       

 

The Joint Institute for Nuclear Astrophysics
April 18, 2007