Please complete the form below to the best of your ability. The information provided will be reviewed by the Program Committee to evaluate your proposal, and see that it aligns with our mission and standards. You will be contacted by our Program Manager directly regarding this process. Thank you for your interest in participating in community media!Producer InformationYour Name First Last Proposed Program TitleProducer Name First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*Host Host is same as producerHost Name* First Last Host Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Host Email* Host Phone*Host's Resume, or Other Background, Volunteer or Relevant Experience Information*Organization DetailsIs this program representing or on behalf of a business/organization?YesNoOrganization/Business Model*For ProfitNot for ProfitOrganization/Business Name*Organization/Business Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Organization/Business Phone*Organization/Business Website* Organization's MissionWhat audience are you trying to reach?What are the goals of the program?Have you ever hosted, produced or been a guest on a TV or radio show?YesNoList when, where, and the format you hostedWhich of the following program formats you think you would prefer? One Time Once a Quarter Bi-Monthly (every other month) Once a MonthProducing a monthly program on BCTV requires advance planning to ensure that you can fill your on-air time. Sometimes producers’ ideas lend themselves best to a quarterly program or only a one-time program. Please think about your idea carefully and check which of the following program formats you think you would prefer?List a minimum of six topics you intend to present*If you are seriously interested in an ongoing monthly program, please list a minimum of six topics you intend to present. This is because we make our schedules well in advance and when producers cancel at the last minute the schedule is thrown into chaos. Proposals without at least six topics will not be considered.If you plan to have guests, please list a minimum of six potential guests or interviews for your programExplain how you plan to present information on your programTypically, producers use guests, video clips, still photographs and other visual aids in the studio. BCTV has limited resources to do off-site taping, and this may incur additional production costs.Provide at least three examples of how you will promote your program.BCTV depends on its producers to help publicize its programs.Would you be willing to collaborate with another organization similar to yours to get you started?YesNoWe receive many program proposals. We ask this question due to our limited time periods for airing shows.Recognizing BCTV’s status as a non-profit corporation, there will be no obscene, indecent, libelous or slanderous material, no inflammatory material, no lottery is involved and no lottery information will be cablecast; there will be no religious proselytizing, no commercial advertising and no political campaigning.BCTV is a nonprofit organization that relies on donations, and sponsors. Each program producer is responsible for a production fee of $100 per year, and each program on BCTV must be underwritten at the minimum level of $1000 for 12 months. All producers are expected to work with BCTV’s Executive Director to obtain that support. Rates are established by the Board of Directors and are subject to change.I have read all of the above and agree.I do not agree.Final AgreementName* First Last Date Date Format: MM slash DD slash YYYY Verify and Submit
