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DIVERSITY DEVELOPMENT FUND 2008 APPLICATION FORM: PART I

Please read the DDF guidelines and all instructions carefully to ensure that your application is processed!

All materials must be received at the ITVS office by 5:00 PM PST on Friday September 26, 2008. This is NOT a postmark deadline.

You must submit Part I of your application online. You will be given an opportunity to review the information you enter and make changes if needed before submitting. Enter all applicable information and select PROCEED TO CONFIRMATION when finished.

You will be taken to a confirmation page with a confirmation number at the top. Print and sign this page and use it as the cover page for each set of written materials.

If your confirmation page does not have a confirmation number at the top, please email kathryn_washington@itvs.org for assistance.

Asterisks (*) indicate required fields.

PROGRAM INFORMATION


Program Title*


Brief Summary of Proposed Program* (25 words or less)


Length:*
1/2 Hour Hour Feature

Genre:*

Documentary Drama Docudrama

Experimental Animation Other

If Other, please specify:


Shooting Format:*

BETA DV HD

16 mm 35 mm Other

APPLICANT INFORMATION

Name of Applicant* First: Last:
Role in production:* Director Producer Director/Producer Co-Director Co-Producer Co-Director/Co-Producer Writer (Dramas Only) Name of Production Entity (if applicable)
Address*
City*	State* AL AK American Samoa AZ AR CA CO CT DE DC FL GA Guam HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA Puerto Rico RI SC SD TN TX UT VT VA Virgin Islands WA WV WI WY	Zip*
Phone 1*		Type Home Cell Work
Phone 2		Type Home Cell Work
Email Address*		Fax

Ethnicity:*

African American Arab American Asian American

Latino/Latina Native American/Native Alaskan Pacific Islander Other

If Other, please specify:

BACKGROUND INFORMATION FOR REPORTING PURPOSES ONLY

Gender: Female Male Decline to State

Age: 18 - 29 30 - 39 40 - 49 50 - 59 60 - 69 70 and older Decline to State

Other community:

LGBT Disability Other

If Other, please specify:


How did you hear about DDF?
Word of Mouth Internet Search ITVS Website ITVS Seminar or Workshop Media Arts Organization Beyond the Box Trade Publication Market Festival ITVS Community Screening ITVS E-mail/Staff Referral Other

If Other, please specify:



INFORMATION ON SUPPORTING VIDEO MATERIALS


Previously Completed Work Sample 1 copy (required)

Title:*


Length


Format:
DVD PAL DVD NTSC VHS PAL VHS NTSC

Role:*
Producer Co-Producer Director Co-Director Writer (Dramas Only)

BUDGET SUMMARY


Producing Staff


Script Development Writing Staff


Research


Travel Research


Production


Other






Once all of the information above is complete and correct, you must: