APPLICATION FORM

Smartphone Camera

Activity / Action Project

Project Purpose:  This study is to develop and improve products and services that operate using image and video data.  (Example: smartphone camera focusing, color, contrast, etc.)

All videos are anonymous, confidential, and not for public use.  They are for research purposes only.  

Participants (children between ages 1 and 18) will be asked to perform a particular action, such as throwing an object, playing on a slide, or jumping, while the parent films with a smartphone camera.


Videos are generally very short (about 15 seconds each). 

Participants:  Participants must be of the following racial / ethnic background:

Hispanic or Latino/Latinx or Spanish Origin

We are looking for boy and girl participants in the following age divisions:

Young Toddler (12 - 24 months)

Older Toddler (24 months - 3 years)

Child (4 - 12 years)

Teen (13 - 17 years)

Pay for Completion:  Payment is $5 per approved video, up to 30 videos. (So the potential payment for each participant is $150.)

Parents may have more than one child as a participant.

(Our company has specific limits for how many videos of each gender and age group to obtain, so the amount of videos available to participants may vary.) 

***Please note: due to the relative difficulty of finding families who can contribute videos using a swimming pool, trampoline, and ice / inline skating, families who can film these videos have a very high possibility of being selected.*** 

Collection Method: Videos will be filmed and submitted using our our client's smartphone app (iOS or Android).  You will film them on your own in and around your home or neighborhood.

Our client does not receive your name, just your PIN number and demographic information.  

If your family would like to participate, please fill out the application form below and we will contact you.  Families that can submit videos by this Saturday evening (11/28) will be highly competitive for selection.

Please note:  if you'd like to be contacted for participation, it is very important that you are specific about what genders, ages, and activities your family would be able to film.

Application Form
Are your potential video participants (your children) Hispanic or Latino/Latinx or Spanish Origin of any race?

Please indicate which gender, ages, and activities your family could contribute

Young Toddler (ages 12 - 24 months)

Young Toddler Activities (select all that you can film)

Older Toddler (ages 24 months - 3 years)

Older Toddler Activities (select all that you can film)

Boy (ages 4 - 12 years)

Please select age. (If you have more than one child who qualifies, please select all that apply)
Activities (select all that you could film)

Girl (ages 4 - 12 years)

Please select age. (If you have more than one child who qualifies, please select all that apply)
Activities (select all that you could film)

Boy Teenager (ages 13 - 17 years)

Please select age. (If you have more than one child who qualifies, please select all that apply)
Activities (select all that you could film)

Girl Teenager (ages 13 - 17 years)

Please select age. (If you have more than one child who qualifies, please select all that apply)
Activities (select all that you could film)