Mothers of the Film Confirmation

Name*

First Last

Email*

Phone

Title/Company:

I am a ...

Choose one that BEST describes you.

The industry or sector that best describes mine is:

Choose one that BEST describes you.

The primary focus of my leadership is: [Check all that apply]

In my role within my organization.
In my business or social impact venture.
In my community.
In my creative work as an artist of impact.
In my family.
In the legacy that I am leaving behind.

Mothers of the Film CONFIRMATION

IF you have already made your contribution, please provide us with a confirmation number in the space above or attach CPAWS receipt or screenshot using the button below (or email to talktous@powherhouse.com). IF you have not yet made your donation to CPAWS, you can do so here: https://cpaws.org/500days/ (please note the Mothers of the Film initiative in the comments section). Thank you.

File Upload

Max. file size: 128 MB.

As a Mother of the Film what most interests me is...

Donation and tax-receipt with minimal involvement
Online gatherings with Dee and other Mothers
Providing input, mentoring, and further support
Inspiration for my own creative project for impact
Shifting the model of how media is financed

Please describe your desired level of involvement if you know what that is.

May we celebrate your contribution to this project and share our gratitude?*

Yes, I consent to receiving public thanks and recognition for my contribution - ie on website, social media share, acknowledgement during live event
No thank you

Headshot or image for sharing

Max. file size: 128 MB.

Any other comments, questions or suggestions:

Mothers of the Film Confirmation

Confirm your $1000 Donation to https://cpaws.org/500days/

PowHERhouse Impact Network amplifIers

PowHERhouse Women's Leadership Accelerator Inc. is a 100% Indigenous-owned social impact organization.

We are deeply grateful to live and work on the traditional, ancestral, and unceded territory of the Sḵwx̱wú7mesh Nation.

Get in Touch!

Connect with Us!

receive our free gift today

The Infinity Loop Visualization