APPLICATION FORM – Low Budget Production Program
2 Carlton Street, Suite 1709, Toronto, Ontario M5B 1J3
Telephone: 416-977-8154 Fax: 416-977-0694
E-Mail: [email protected] Web: www.bellfund.ca
Application Deadlines: February 1, May 1, July 15 and October 1
Application materials may only be submitted electronically. This Application Form (in *.DOC format) , Bell Fund Digital Media
Development Budget Template (in *.XLS format), the Broadcaster Support Form and all required support materials must be completed and
emailed to the Bell Fund ([email protected]) by 5:00pmEST on the application deadline date.
PLEASE COMPLETE ALL AREAS IN FULL: (Note: This application is also available in French)
PART I: Digital Media Component
Title of Project:
Previous Titles (if any):
For further information regarding this application and project listed above, contact:
Contact Name, Title:
Telephone:
E-Mail
Production Budget
$
Amount Requested from Bell Fund
$
% of budget (max. 75% to max 75,000)
.
Production Company:
Producer:
Address:
Telephone:
Fax:
E-Mail
Owner of Digital Media
Copyright:
Electronic Distributor/Publisher
(if applicable):
Host/Server:
Broadcaster
LANGUAGE
TARGET AUDIENCE
PLATFORM
PROJECT CATEGORY
(check all that apply)
(check all that apply)
(check all that apply)
(check all that apply)
English
French
Aboriginal Language(s)
(specify)
Pre-school
Children
Teens
Adults
Female
Male
Low Budget Production Application Form
Online
Responsive Website
Non-responsive Website
Web Application
Application
Phone
Tablet
iOS
Android
Social Media
Application
IPTV
Synched Experience
Other (describe):
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community
entertainment
educational/resource/reference
gaming
Other(describe)
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FINANCIAL
Proposed financial structure:
Type
Committed?
Amount
($)
grant, loan, licence,
equity, deferral
Bell Fund (requested)
*max 75% to max. $75,000
grant
% of Budget
N
(list all other funding sources)
(Third Party) Min 10% cash contribution
TOTAL
$
PRODUCTION SCHEDULE
Commencement of Production:
Milestone (list one and completion date):
Estimated completion date of Production:
Delivery date to Electronic
distributor/publisher and/or host/server:
Television Broadcast Date *
(* See Guidelines – Production Program #5.2.3)
ADD SPACE AS NECESSARY
A.
CONTENT
1. Describe the various components, activities and modules. Be specific! Also describe the User experience.
2. Describe the interrelationship between the television and digital media components.
3. If applicable, briefly describe any existing digital media content affiliated with this television property that has
been available to the public. Include a brief evaluation of this content and an analysis of any success factors
including audience measurements, revenue, awards etc. and list sources of funding:
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B. DESIGN/TECHNOLOGY
4. Describe the design (architecture, navigation, graphic design, interactivity, creative elements).
5. Describe the technology to be used in production and deployment.
C. FEASIBILITY
6. List the names and summarize the highlights of relevant experience of the following team
members:(producers, production manager, creative lead, technical lead, writer)
7. Describe the project development to date.
8. Has the project received any financing to date? (development or otherwise) If so, provide details:
D. BUSINESS PLAN
10. Describe your Marketing /Promotion Plan. Detail the online, mobile and social media strategies as
appropriate.
11. Describe your Sales/Distribution Strategies. What is the projected user traffic and demographics?
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PART II: Television Component
*The Bell Fund requires this section to be completed in FULL, even when there is no request for television financing as it impacts on the
viability of the Digital Media component. Any application that does not include this section completed in full, will not be considered.
Title of Project:
Previous Titles (if any):
For further information regarding the project listed above, contact:
Contact Name, Title:
Telephone:
E-Mail
Amount Requested from Bell Fund:
$
% of Canadian licence fees (max. 75% to max $75,000)
Production Company:
Address:
Telephone:
Fax:
E-Mail
Is this a co-production?
No
Yes
Official Canadian co-production?
No
Yes; Canadian
%
Co-Production Company:
Address:
Telephone:
Fax:
E-Mail
Owner of Copyright
Broadcaster:
Contact Name, Title:
Telephone:
E-Mail
Distributor (if applicable):
Number of Episodes
X
Running Time
LANGUAGE
TARGET AUDIENCE
(check all that apply)
(check all that apply)
minutes each episode
PROJECT TYPE
PROJECT CATEGORY
(check all that apply)
English
Pre-school
series
animation
French
Children
mini-series/limited series
comedy
Teens
Adults
one-off
drama
documentary
Aboriginal Language(s)
(specify)
lifestyle/how-to
Other(describe)
Female
Male
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PRODUCTION SCHEDULE
Date of Principle Photography:
Location:
Date of Completion of Principle
Photography
Date of Delivery to Broadcaster:
Projected Date of Canadian Broadcast:
PRODUCTION ELEMENTS: A minimum of 8/10 Canadian content certification points is required.
Canadian (Y/N)
Producer(s):
Executive Producer(s):
Scriptwriter(s):
Director(s):
Lead Performer(s):
TOTAL CANADIAN CAVCO POINTS:
/10
FINANCIAL ELEMENTS :
Total Television Production Budget:
Specify/
Details
Bell Fund
$
Committed
Y/N
(attach television budget summary)
Licence
$
Equity
$
Other
$
Total
$
% of
Budget
Grant
%
Canadian Broadcaster(s)
%
CMF
%
Production Company
%
Federal Tax Credit
%
Provincial Tax Credit
%
Distributor
%
Provincial Agency
%
Private Fund
%
Private Investment
%
Other
%
TOTAL(S)
Low Budget Production Application Form
$
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$
$
$
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ADD SPACE AS REQUIRED
1. CONCISE SYNOPSIS OF TV SERIES
MAXIMUM 150 WORDS – INSERT SYNOPSIS BELOW, DO NOT SUBMIT AS AN ATTACHMENT
This synopsis must summarize the story and/or describe what the program is about and/or what will develop throughout the series, and not a
“promotional” synopsis.
2. If this is a subsequent series, sequel or spin-off, provide audience metrics on previous iterations of this
television project.
3. To what other territories has this television project been licensed? Do the distribution plans for the
television include the digital media project?
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PART III: Documents Required with this Application
Required Documents (Electronic – email to [email protected])
1.
Complete Application Form, in *.DOC format – emailed to [email protected]
2.
Complete Bell Fund Digital Media Production Budget template, in *.XLS format – emailed to [email protected]
3.
Complete Broadcaster Support Form, in *.DOC or .PDF format – emailed to [email protected]
4.
Proof of eligible broadcaster(s) commitment to licence the television component (full length broadcaster licence agreement,
or detailed deal memo, or letter of commitment detailing the actual licence amount and the format in which the program will
be shot and broadcast) - emailed to [email protected]
5.
Television Budget Summary – emailed to [email protected]
6.
Co-production agreement, or, services agreement, between the Television Producer and the Digital Media Producer (if
applicable) - emailed to [email protected]
Emailed
The applicant(s) agree that no obligation is assumed or implied against Bell Fund unless and until Bell Fund enters into a written agreement
with the applicant(s), if any, and then only as expressed in such agreement. The undersigned hereby releases Bell Fund and its directors,
officers, members, employees, administrators, agents and representatives from any liability for the loss, theft, damage or destruction of the
documents and materials submitted with this application or for the unauthorized use or reproduction for reasons beyond Bell Fund's
knowledge or control. All risks associated with the transportation of the documents and materials submitted with this application are assumed
by the applicant(s).
This applicant(s) acknowledges that this application is not eligible if any part of this Application Form is not completed and submitted in full.
The applicant(s) hereby warrants that the information provided in this Application Form is complete and accurate and that the signatory has
the full authority to submit this application to Bell Fund.
The applicant(s) hereby authorizes Bell Fund to communicate any information in this application with any third party indicated in this
application as a proposed or committed source of financing for this project.
Bell Fund retains the right to keep on file or destroy all material submitted by applicants in support of their application.
Digital Media Producer/Applicant
Name:
Title:
Signature :
Date:
E-mail :
Television Producer/Applicant (if different from Digital Media Producer/Applicant)
Name:
Title:
Signature:
Date:
E-mail :
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