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 Bio, Resume, or Other Relevant Experience Information*Organization DetailsIs this program representing or on behalf of a business/organization? Yes NoOrganization/Business Model* For Profit Not for Profit Organization/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? Yes NoList 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 MonthPrograms are up to 28 minutes in length. Producing a monthly program on BCTV requires advance planning to ensure that you can fill your on-air time, and so that we may staff and promote your program accordingly. Sometimes program ideas lend themselves best to a quarterly program or only a one-time program. Please think about your idea carefully and select the program schedule format that you feel is the best match.List a minimum of six topics you intend to present*If you are interested in an ongoing monthly program, please list a minimum of six topics you intend to present or discuss. 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? Yes NoWe 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 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 MM slash DD slash YYYY Verify and Submit
English
Afrikaans
Albanian
Amharic
Arabic
Armenian
Azerbaijani
Basque
Belarusian
Bengali
Bosnian
Bulgarian
Catalan
Cebuano
Chichewa
Chinese (Simplified)
Chinese (Traditional)
Corsican
Croatian
Czech
Danish
Dutch
Esperanto
Estonian
Filipino
Finnish
French
Frisian
Galician
Georgian
German
Greek
Gujarati
Haitian Creole
Hausa
Hawaiian
Hebrew
Hindi
Hmong
Hungarian
Icelandic
Igbo
Indonesian
Irish
Italian
Japanese
Javanese
Kannada
Kazakh
Khmer
Korean
Kurdish (Kurmanji)
Kyrgyz
Lao
Latin
Latvian
Lithuanian
Luxembourgish
Macedonian
Malagasy
Malay
Malayalam
Maltese
Maori
Marathi
Mongolian
Myanmar (Burmese)
Nepali
Norwegian
Pashto
Persian
Polish
Portuguese
Punjabi
Romanian
Russian
Samoan
Scottish Gaelic
Serbian
Sesotho
Shona
Sindhi
Sinhala
Slovak
Slovenian
Somali
Spanish
Sudanese
Swahili
Swedish
Tajik
Tamil
Telugu
Thai
Turkish
Ukrainian
Urdu
Uzbek
Vietnamese
Welsh
Xhosa
Yiddish
Yoruba
Zulu