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HEART OF THE SEA: Kapolioka'ehukai PROMISES BE GOOD, MY CHILDREN OPEN OUTCRY A LETTER WITHOUT WORDS STILL LIFE WITH ANIMATED DOGS KIDS SPOTS '99
Producer Resources
LINCS 2008 APPLICATION FORM: PART I

Please read all instructions carefully to ensure that your application is processed!

Please submit Part I of your application online. You will be given an opportunity to review the information you enter and make changes if needed. Upon submitting Part I electronically, you will be prompted to print and sign the application form and use it as the cover sheet when submitting the remainder of your materials.

Before completing this form make sure you have read the LINCS 2008 Guidelines and How to Apply.

Enter all applicable information below and select Proceed to Confirmation when finished. Asterisks (*) indicate required fields.


PROGRAM INFORMATION


Program Title*


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


Length:*


Genre:*
Documentary
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:*


Name of Production Entity (if applicable)

Address*

City*

 State*

 Zip*

Phone 1*

Type*

Phone 2

Type

Email Address*

Fax

BACKGROUND INFORMATION FOR REPORTING PURPOSES ONLY

Ethnicity:
African American
Arab American
Asian American
European American
Latino/Latina
Native American/Native Alaskan
Pacific Islander
Other

If Other, please specify:


Gender:

Age:

Other community:
LGBT
Disability
Other

If Other, please specify:


How did you hear about LINCS?


If Other, please specify:



CO-APPLICANT INFORMATION


Name of Applicant
First: Last:

Role in production:


Name of Production Entity (if applicable)

Address

City

 State

 Zip

Phone 1

Type

Phone 2

Type

Email Address

Fax

BACKGROUND INFORMATION FOR REPORTING PURPOSES ONLY

Ethnicity:
African American
Arab American
Asian American
European American
Latino/Latina
Native American/Native Alaskan
Pacific Islander
Other

If Other, please specify:


Gender:

Age:

Other community:
LGBT
Disability
Other

If Other, please specify:


PUBLIC TELEVISION STATION INFORMATION


Public Television Station*

Designated Station Contact*
First: Last:

Title*

Address*

City*

State*

Zip*

Phone 1*

Type*

Phone 2

Type

Email Address*

Fax


INFORMATION ON SUPPORTING VIDEO MATERIALS


Work-in-Progress 4 copies (required)

Type:*


Length*


Work-in-Progress Format:*



Previously Completed Work Sample 1 copy (required)

Title:*


Length*


Format:*


Role:*


BUDGET SUMMARY


Station In Kind*


Cash Spent to Date*


Cash Secured Not Yet Spent*
Description

Pending Funds*
Description

Total Request to ITVS*


Total Budget of Program*






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


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