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Online Application

Please read all instructions carefully to ensure that your application is processed!
Open Call is for U.S. producers only. Non-U.S. producers should apply to International Call.

All materials must be received at the ITVS office by 5:00 PM PST on Friday January 15, 2010.

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. Upon submitting Part I electronically, you will be taken to a confirmation page with a confirmation number at the top. Print this confirmation page, sign it, 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 contact Jonathan Archer at jonathan_archer@itvs.org for assistance.

Before completing this form make sure you have read the Open Call 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: *
1/2 Hour Hour Feature

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: * Director Producer Director/Producer Co-Director Co-Producer Co-Director/Co-Producer 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

BACKGROUND INFORMATION FOR REPORTING PURPOSES ONLY

ITVS is dedicated to presenting diverse voices on television. We continually strive to assure that the pool of applicants reflects a wide spectrum of communities. To this end, we respectfully request the demographic information below. This section is optional. Your participation helps us measure the effectiveness of our efforts.

Ethnicity:

African American Arab American Asian American European American

Latino/Latina Native American/Native Alaskan Pacific Islander Other/Multiple

If Other/Multiple, please specify:


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 OPEN CALL?
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:



CO-APPLICANT INFORMATION

Name of Co-Applicant First: Last:
Role in production: Director Producer Director/Producer Co-Director Co-Producer Co-Director/Co-Producer 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

BACKGROUND INFORMATION FOR REPORTING PURPOSES ONLY

Ethnicity:

African American Arab American Asian American European American

Latino/Latina Native American/Native Alaskan Pacific Islander Other/Multiple

If Other/Multiple, please specify:


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:



INFORMATION ON SUPPORTING VIDEO MATERIALS


Work-in-Progress 1 copy (required)

Type: *
Trailer Selects Rough Cut

Length *


Work-in-Progress Format: *
DVD NTSC


Previously Completed Work Sample 1 copy (required)

Title: *


Length *


Format: *
DVD NTSC VHS NTSC

Role: *
Director Producer Director/Producer Co-Director Co-Producer Co-Director/Co-Producer

BUDGET SUMMARY


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: