Indigenous Feature Production Application Form Web viewINDIGENOUS DEPARTMENT. FUNDING APPLICATION:...
25
INDIGENOUS DEPARTMENT FUNDING APPLICATION: FEATURE PRODUCTION DATE OF APPLICATION: Please make sure you: indicate what you are applying for above, and read Screen Australia’s program guidelines see www.screenaustralia.gov.au/indigenous complete all questions on this application form compile the supporting documentation specified on page 20. This form must be completed using Microsoft Word . You can use the tab key to jump to the next field. APPLICANT COMPANY ABN KEY PRINCIPAL CONTACT FOR THIS APPLICATION One of the Key Principals listed on the next page (generally the producer) must be nominated as the person responsible for this application, all official correspondence will be sent to this person. NAME Role on the project: [select] Mobile Email State of residence [select ] ADDITIONAL CONTACT PERSON IF RELEVANT All official correspondence will be sent to the Key Principal Contact listed above. However, if you wish to nominate an additional contact person, who will be cc’ed on email correspondence and listed as a backup for phone communications, please provide details here. Name Phone Email PROJECT TITLE AKA (list any former titles) Amount requeste d $ For Production OR Post-production* Total budget (do not insert a range) $ * Post-production funding is available to fund project-specific post-production costs associated with taking a project from the end of principal photography through to delivery. Domestic distributor (required) document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 1 Office use only App.No.............… Rec ……………………..
Transcript of Indigenous Feature Production Application Form Web viewINDIGENOUS DEPARTMENT. FUNDING APPLICATION:...
INDIGENOUS DEPARTMENTFUNDING APPLICATION:
FEATURE PRODUCTION
DATE OF APPLICATION:
Please make sure you: indicate what you are applying for above, and read Screen
Australia’s program guidelinessee www.screenaustralia.gov.au/indigenous
complete all questions on this application form compile the supporting documentation specified on page 15.
This form must be completed using Microsoft Word. You can use the tab key to jump to the next field.
APPLICANT COMPANY ABN
KEY PRINCIPAL CONTACT FOR THIS APPLICATIONOne of the Key Principals listed on the next page (generally the producer) must be nominated as the person responsible for this application, all official correspondence will be sent to this person.
NAME Role on the project: [select]
Mobile Email State of residence
[select]
ADDITIONAL CONTACT PERSON IF RELEVANTAll official correspondence will be sent to the Key Principal Contact listed above. However, if you wish to nominate an additional contact person, who will be cc’ed on email correspondence and listed as a backup for phone communications, please provide details here.
Name
Phone Email
PROJECT TITLE
AKA (list any former titles)
Amount requested $
For Production OR Post-production*
Total budget(do not insert a range) $
* Post-production funding is available to fund project-specific post-production costs associated with taking a project from the end of principal photography through to delivery.
Domestic distributor(required)
International sales agent(if applicable)
PREVIOUS SUBMISSIONSPlease indicate whether this project been submitted previously (irrespective of whether the application was successful) to:
the AFC Film Australia the FFC Screen Australia Not previously submitted
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 1
Office use only
App.No.............................…
Rec ……………………..………………
1. ELIGIBILITY STATEMENT
Please confirm eligibility for this program as follows: The application is from a producer, on behalf of a team including a writer and director, or writer/director
The writer and director are Aboriginal or Torres Strait Islanders, with three eligible credits in their respective roles
In the case of co-writing teams, made up of Indigenous and non-Indigenous writers, the original concept is from the Indigenous writer
The producer is either: an ‘experienced producer’, or a producer who has at least three ‘eligible drama credits’, or an emerging producer applying in conjunction with an ‘experienced producer’.
An ‘eligible drama credit’ under this program is a drama film or program of at least 10 mins which has: - screened at a recognised film festival (Cannes, Berlin, Toronto, Sundance, Clermont-Ferrand or Annecy; Adelaide Film Festival, Brisbane International Film Festival, Melbourne International Film Festival, Revelation Perth International Film Festival, Sydney Film Festival; Flickerfest or St Kilda Film Festival); or- been nominated for an AACTA Award; or- been broadcast by a recognised broadcaster or channel; or - had a commercial theatrical release.An ‘experienced producer’ is defined as having at least one credit as producer on: - a feature film that has been released on a minimum of five commercial screens in one territory, OR- a primetime broadcast drama mini-series or telemovie.
You will need to list your credits in Section 3 of this form.
The project has an acceptable offer to theatrically distribute the project in Australia (with sufficiently detailed core commercial terms) from an appropriate domestic distributor.
Has the project previously been assessed and declined for funding under this program? No YesIf YES the project has been substantially and demonstrably re-worked, and a statement of changes is attached, and the project has not been declined twice before.
Applicants must also complete the section under General Eligibility on page 18.
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 2
2. CREATIVE TEAMKEY PRINCIPALS Please provide the information requested below for each Key Principal, including the Key Principal Contact from page 1. These are the key members of the creative team who are confirmed and integral to the funding requested – generally the producer/s, executive producer/s, director/s and writer/s, as relevant. This information will also be used to confirm eligibility.
Please indicate which of the principals are Indigenous: writer director producer
NAME Role on project: [select]
Gender: [select] Australian citizen/resident: [select] State of residence [select]
Mobile: Email: Relevant credits:
Project title Credited role Type (short drama, TVseries, etc)
Duration Budget ($) Release year
Release details (broadcast, screening or festival info)
200-word bio
NAME Role on project: [select]
Gender: [select] Australian citizen/resident: [select] State of residence [select]
Mobile: Email: Relevant credits:
Project title Credited role Type (short drama, TVseries, etc)
Duration Budget ($) Release year
Release details (broadcast, screening or festival info)
200-word bio
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 3
NAME Role on project: [select]
Gender: [select] Australian citizen/resident: [select] State of residence [select]
Mobile: Email: Relevant credits:
Project title Credited role Type (short drama, TVseries, etc)
Duration Budget ($) Release year
Release details (broadcast, screening or festival info)
200-word bio
NAME Role on project: [select]
Gender: [select] Australian citizen/resident: [select] State of residence [select]
Mobile: Email: Relevant credits:
Project title Credited role Type (short drama, TVseries, etc)
Duration Budget ($) Release year
Release details (broadcast, screening or festival info)
200-word bio
DIRECTOR’S PREVIOUS WORK
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 4
ONLINE SCREENING LINK(S) for director’s previous work, including password if applicable
Please note, if you are not able to supply a link you will need to send or deliver 2 copies of the work on a DVD or USB, along with a print out of the application form, to the address below. Submissions must be postmarked no later than the deadline date.
Screen Australia, Program OperationsLevel 7, 45 Jones StreetULTIMO NSW 2007
3. PROJECT CREATIVE DETAILS
FORMAT AND DURATION
Shoot format/gauge Distribution format: Duration mins
STYLE, SETTING AND PERIOD
Animation Live action Setting Period (circa)
SYNOPSIS (refer to Screen Australia handout What is a Synopsis? An Outline? A Treatment?)
ONE-LINE SYNOPSIS (LOGLINE) (max 50 words)
ONE-PARAGRAPH SYNOPSIS (max 120 words)
GENRE Select which genre best describes your project
Action adventure
Comedy
Drama
Horror
Musical
Romantic comedy
Thriller
Western
Crime
Mystery
Science fiction
Family
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 5
KEY CREW (where applicable)
Role Name Confirmed? Australian resident/ citizen?
D.O.P. [select] [select]
Editor [select] [select]
Designer [select] [select]
Composer [select] [select]
Prod. Manager [select] [select]
[select] [select]
[select] [select]
[select] [select]
If any of the key crew above are Indigenous, please list them here:
KEY CASTName Character Proposed Confirmed
Proposed Confirmed
Proposed Confirmed
Proposed Confirmed
Proposed Confirmed
PRIMARY INTENDED AUDIENCE: Age: <14 years 14–17 years 18–24 years 25–34 years 35–49 years 50+ years
Skewed towards female Skewed towards male Gender neutral
ANTICIPATED SCALE OF RELEASE: Limited (<20 prints) Specialty (20–99 prints) Mainstream (100–199 prints) Wide (200–399 prints) Blockbuster (400+ prints)
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 6
4. PROJECT STATUS
IMPORTANT: If you are intending to access the Producer Offset, you must be able to provide a Producer Offset Provisional Certificate before the decision meeting at which your application will be considered. To allow Screen Australia’s Producer Offset and Co-production Unit (POCU) sufficient processing time, this means you must have lodged the relevant form/s with them before submitting your Production Investment application.Because the POCU is subject to the provisions of the Tax Act and cannot share information with the Indigenous Unit, you must provide the POCU’s email confirmation with your Production Investment application as proof of lodgement.
Does the project have Provisional Certification for the Producer Offset? Not eligible Application lodged (ref. no. )* Provisional Certificate attached
(* Insert reference number listed on your confirmation email from the Producer Offset & Co-production Unit.)
Is the project intended to be an Official Co-production? Yes NoIf yes: with what country? Australian majority? Yes No
Foreign co-producer Approx Australian % %
Provisional co-production approval must be obtained before the Decision Meeting at which the project will be considered.
Current status (tick to confirm): Provisional approval application lodged (ref. no. )* * Insert reference number listed on your confirmation email from the Producer Offset & Co-production Unit.
5. SCHEDULE
PROPOSED PRODUCTION SCHEDULEDate (dd/mm/yy)
Start of pre-production / /
Start of production (principal photography) / /
Start of post-production / /
Rough cut viewing / /
Picture edit complete / /
Sound edit complete / /
Project complete / /
Delivery / /
Audit complete / /
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 7
6. COPYRIGHT
In order to receive Screen Australia funding, the Applicant must either hold the rights or have an appropriate option to acquire the rights necessary to produce the project. This includes, for example, the copyright in a script or treatment, and the right to make the project if it is based on another work such as a book, format, unpublished manuscript, etc).
Please provide a brief narrative overview of the ‘chain of title’ for this project (for example: ‘This project is based on a novel by [author]. [Screenwriter] was retained by [production company] to write a script based on the book.’
Please provide details of all works on which the project is based and the status of the chain of title documentation for each:
Type of Work
Title of Work
Author/ creator
Rights Holder (see below )
Documentation/Status (see below )
Option Expiry Date (where relevant)
Eg.Book
“The Big Bang”
Jane Author My Company/ Her Publisher
Option Agreement between My Company and Her Publisher dated 1 November 2011.
1 November 2013
[select]
[select]
[select]
[select]
[select]
[select]
[select]
[select]
[select]
For each work:
Where the Rights Holder is the Applicant, please list under ‘Documentation/Status’ the documents that establish this (the ‘chain of title documentation’), eg development agreement, option agreement, assignment agreement etc, including the parties to the agreement and its date
Where the Rights Holder is not the Applicant, please list under ‘Documentation/Status’ any documents currently in place (eg letter of intent, or in-principle agreement) or describe how the Applicant intends to obtain the necessary rights.
If your application is approved, you will need to provide an opinion letter from an appropriate solicitor confirming you have the rights to make the film before funds can be released. You may also need to provide all or some of the chain of title documents listed above on request.
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 8
7. CLEARANCES
Is the project partly or wholly based on a real life event or person? [select]If yes, please provide details, including whether releases, in-principle agreements or access agreements have been obtained.
Is the project dependent on obtaining releases or access agreements from individuals or bodies such as local councils, government or private organisations? [select]
If yes, please detail the type of release/s or agreement/s required and whether you have a signed copy.
8. ABORIGINAL AND/OR TORRES STRAIT ISLANDER CONTENT OR PARTICIPATION
Does the project involve Indigenous content or the participation of Indigenous people? For example, does the project involve an Indigenous story, or an Indigenous character? Or focus on an Indigenous person or community? Or use Indigenous communities or land as locations? Or draw on or refer to Indigenous culture and heritage in any form? Even if you think the Indigenous elements are incidental, please outline them here.
No Yes – if Yes, please describe the nature of the involvement – the role Indigenous content or participation plays in the project
Particular requirements for consultation and consent apply where Indigenous content or participation is involved, and the quality of your consultation plan will be taken into account in Screen Australia’s funding decisions. As per the Submission Materials Checklist, you will need to provide: a statement setting out how you are approaching the Indigenous content or participation with regard to
appropriate protocols, even if the content is not specific to a particular community or individual. You must be able to demonstrate that you have a consultation plan covering the full production process and are following it. We would expect this statement to be based on the checklists available in Screen Australia’s guide Pathways & Protocols: a filmmaker’s guide to working with Indigenous people, culture and concepts.
signed evidence of consultation to date .
Does the project involve particular communities or individuals? No Yes (please provide signed letters of consent confirming their willingness to participate).
We require you to have sought Indigenous advice by this stage. Please provide names and contact details below for your Indigenous advisers.
Name
Company (if applicable)
Phone Mobile
What did they advise you about?
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 9
Name
Company (if applicable)
Phone Mobile
What did they advise you about?
9. FUNDING
As specified in the Supporting Documentation checklist, you must attach:
A detailed budget and budget summary using the standard Screen Australia A-Z budget format available from www.screenaustralia.gov.au/a-zbudget. Budget must include line items as specified in the program guidelines.
A one-line shooting schedule and relevant cast breakdowns on which budget is based.
A finance plan using the template available from the Screen Australia website .
PREVIOUS FUNDINGPlease indicate any previous development or other funding provided to this project:
1. By Screen Australia or its predecessor agencies (for Enterprise Program companies, this should include any development funds allocated to this project from Enterprise funds)Agency/ Funder Year Description Amount $
$
$
TOTAL (this should be included in your finance plan and will form part of Screen Australia’s total investment in the project) $
2. By other entities, including State and Federal government agencies, broadcasters or other third-party investors.
Agency/ Funder Year Description Amount $
$
$
TOTAL $
ANTICIPATED SPEND BY LOCATION
Location Anticipated spend Est. % of budgetACT $ %New South Wales $ %Northern Territory $ %Queensland $ %South Australia $ %Tasmania $ %Victoria $ %Western Australia $ %Overseas $ %
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 10
10. DEAL SUMMARIES
MARKETPLACE DEAL SUMMARYYour application must include an acceptable offer to theatrically distribute the project in Australia (including basic commercial terms) from an appropriate domestic distributor
Agreements must be attached, but should not be countersigned by you at this stage.
Please summarise the key terms of your marketplace arrangements here.
DOMESTIC DISTRIBUTOR
Territories $ Term of agreement years
Rights included All rights List any exclusions: OR the following specific rights:
Cinema release TV Home video/DVD Non-theatrical Download to own Online content Mobile content Transport and hotel Clip licensing Other:
Guarantee $ Payable
Commissions % theatrical; % TV; % ancillary; % royalty on gross receipts for home ent. rights
Additional rights/ commissions or
non-standard terms or conditions
ROW SALES AGENT
Territories Term of agreement years
Rights included All rights List any exclusions: OR the following specific rights: Cinema release TV Home video/DVD Non-theatrical Download to own Online content
Mobile content Transport and hotel Clip licensing Other:
Guarantee $ Proposed marketing expenses US$
Commissions % ROW; % US (must include sub-distributor commissions)
Additional rights/ commissions or
non-standard terms or conditions
BROADCASTER/CHANNEL Offer Letter of interest
Licence fee $ Term of agreement years Number of runs
Territories
Holdback on domestic channels months On international channels months
Rights included Catch-up Program website VOD/pay-per-view Free online download Free mobile download
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 11
Additional rights, holdbacks or non-
standard terms
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 12
PRESALE
Territory/ies Term of agreement years
Rights included All rights List any exclusions: OR the following specific rights:
Cinema release TV Home video/DVD Non-theatrical Download to own Online content Mobile content Transport and hotel Clip licensing Other:
Amount $
Comments (including any commissions)
PRESALE
Territory/ies Term of agreement years
Rights included All rights List any exclusions: OR the following specific rights:
Cinema release TV Home video/DVD Non-theatrical Download to own Online content Mobile content Transport and hotel Clip licensing Other:
Amount $
Comments (including any commissions)
11. CONTRACTING INFORMATION
Please provide the requested information for the company with which Screen Australia will contract if this application is successful.
Existing company (provide details below) Not yet established
Company name ABN Please use full company name, including Pty Ltd and ‘trading name’ if relevant, eg ‘Lettuce Films Pty Ltd trading as Lettuce Salad’
Street address
State [select] Postcode
Phone Email
Contact name if applicable You may nominate an additional person from your company who will be the contact person for contracting purposes
Is this company an SPV? Yes NoIf yes, please provide details of parent company/ies below:
Parent company name ABN Please use full company name, including Pty Ltd and ‘trading name’ if relevant, eg ‘Lettuce Films Pty Ltd trading as Lettuce Salad’
Street address
City State [select] Postcode
Phone Email
Parent company name ABN Please use full company name, including Pty Ltd and ‘trading name’ if relevant, eg ‘Lettuce Films Pty Ltd trading as Lettuce Salad’
Phone Email
Street address
City State [select] Postcode
Phone Email
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 13
12. BUSINESS CONTACTS
Please complete the following details where known.
Applicants’ solicitor Contact name
Telephone Email
Address
State Postcode
Applicants’ accountant Contact name
Telephone Email
Address
State Postcode
Applicants’ auditor Contact name
Telephone Email
Address
State Postcode
Completion guarantor Contact name
Telephone Email
Address
State Postcode
Post-production house Contact name
Telephone Email
Address
State Postcode
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 14
13. SUBMISSION MATERIALS CHECKLIST
Email the following materials to: [email protected] Documents should be named as indicated in the checklist, and attached to the email as a zipped folder. (Please do not combine documents into a single PDF; do not put documents into subfolders.)NOTE: We need all specified materials in order to properly process your application.
Please contact our Program Operations team before you submit your application on 1800 507 901 if you are concerned that you will be unable to meet this requirement.
Check the box to indicate that required documents have been provided, or select ‘not applicable’ where relevant.
Completed application form. (Microsoft Word format only – NOT pdf) filename: application form – [project name].doc or .docx
Full and complete script including date and draft number, presented to industry standards.filename: script – [project name].doc or .docx or .pdf
A creative statement from the project’s creative team detailing their creative vision for the project, and addressing the assessment criteria for the Indigenous Feature Production program. See www.screenaustralia.gov.au/Indigenous filename: creative statement – [project name].doc or .docx or .pdf
In the case of Indigenous and non-Indigenous co-writing teams it is a requirement that you include a statement that illustrates how the concept has come from your Indigenous lead writer. Not applicable
VIDEO MATERIAL – DIRECTOR’S PREVIOUS WORKPlease provide examples of the director’s previous work if available (either as a link or on DVD or USB) Not applicable
Online screening link if available (as per page 4) OR
On USB/DVD. Please note, DVDs/USBs will not be returned.Send or deliver 3 copies, along with a printout of the application form, to the address below.
Screen Australia, Program OperationsLevel 7, 45 Jones Street ULTIMO NSW 2007
APPLICANT COMPANY DETAILS (please also provide for parent company/ies if the applicant company is an SPV)List of the names and addresses of all company directors, indicating whether they are Australian citizens or residents.filename: company directors list – [project name].doc or .docx or .pdf
PROJECT CREATIVE DETAILSCVs for all key creatives filename: CV – [name] – [project name].pdf
Any relevant cast deal memos/agreements . filename: cast – [name] – [project name].doc or .docx or .pdf
PLUS, you must be ready to provide the following when requested, as part of the consideration process: Marketing strategy articulating - how it is proposed to sell the project to the intended audience (prepared with input from the domestic distributor)- proposed cross-platform strategy for project commercialisation- proposed international sales and distribution strategy (prepared with input from the ROW sales agent).Revenue projections (low, medium, high) for ANZ, provided by the domestic distributor.
COPYRIGHT & CLEARANCESChain of Title summary: summary list of all the Chain of Title documents you are providing.filename: chain of title summary – [project name].doc or .docx or .pdf
All Chain of Title documents, including all rights and development agreements (eg, option agreements, extension of option agreements, writer’s agreements, quitclaim deeds and co-development agreements). All chain of title documents should be signed and dated. filename: chain of title – [project name].doc or .docx or .pdf
A statement setting out how you are approaching the Indigenous content or participation with regard to appropriate protocols, even if the content is not specific to a particular community or individual. You must be able to demonstrate that you have a plan covering the whole production process and are following it. The statement should be based on the checklists available in Screen Australia’s guide Pathways & Protocols: a filmmaker’s guide to working with Indigenous people, culture and concepts. filename: Indigenous statement – [project name].doc or .docx or .pdf
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 15
Signed evidence of consultation to date filename: Indigenous consultation – [project name].pdf If the project involves particular Indigenous individuals or communities, signed letters of consent confirming their willingness to participate. None identifiedfilename: Indigenous consent – [project name].pdf
BUDGET & FINANCINGComplete finance plan (including narrative) indicating the dates of confirmation of any state agency funding or any other finance pending, and including an outline of proposed recoupment structure, profit and copyright shares. You must use the Excel template available from www.screenaustralia.gov.au/Indigenous filename: finance plan – [project name].xls or .xlsx
A one-line shooting schedule and relevant cast breakdowns on which budget is based. filename: shooting schedule – [project name].doc or .docx or .pdf
All relevant deal memos/agreements/letters of offer in relation to marketing and distribution. Please note: a signed deal memo or letter of offer including term sheets must be attached for ALL marketplace or equity attachments in the finance plan. However, please don’t countersign these agreements at this stage. filename: marketplace – [entity] – [project name].doc or .docx or .pdf
Documented evidence relating to any equity investment . Not applicablefilename: equity investor – [entity] – [project name].doc or .docx or .pdf
Detailed budget and budget summary using standard Screen Australia A-Z budget form available from www.screenaustralia.gov.au/a-zbudget. Alternatively, budgets may be submitted in Movie Magic or EP formats, but must include the QAPE spreadsheet in the case of Offset projects. See www.screenaustralia.gov.au/Indigenous for budget requirements. filename: budget – [project name].xls or .xlsx
For the Producer Offset projects, a QAPE spreadsheet if budget is Movie Magic or EP. Not applicablefilename: QAPE spreadsheet – [project name].xls or .xlsx
Details of proposed Offset cashflow provider and terms sheet if relevant. Not applicablefilename: cashflow provider – [project name].doc or .docx or .pdf Not applicableCompletion Guarantor letter of intent showing date of budget, correct budget amount, bond fee. Not applicablefilename: completion guarantor – [project name].doc or .docx or .pdf
PROJECT STATUSPRODUCER OFFSET QUALIFYING PROJECTS (other than co-productions): Not applicable
Copy of application form (not supporting documentation) for Provisional Certification and confirmation email as proof of lodgement. filename: Offset application – [project name].doc AND filename: Offset email – [project name].doc or .docx
Provisional C ertificate if issued (note: the Offset Provisional Certificate must be provided before the Decision Meeting at which the project is being considered.) filename: Offset provisional certificate – [project name].doc or .docx
CO-PRODUCTIONS Not applicableCo-pro Letter of Preliminary Compliance if issued. Not applicablefilename: Co-pro Letter – [project name].doc or .docx or .pdf
Confirmation email no more than two years old (if received) as proof that application forms have been lodged filename: Co-pro email – [project name].pdf
Copy of completed application (not supporting documentation) - for provisional co-production approval (Form A) filename: Co-pro form A – [project name].doc or .docx – AND - for a Producer Offset Provisional Certificate (Form B) filename: Co-pro form B – [project name].doc or .docx(Note: provisional co-production approval and provisional Offset certification must both be provided before the Decision Meeting at which the project is being considered.)
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 16
POST-PRODUCTION FUNDING - All the material listed above plus: A summary post-production schedule from start of post-production to delivery.filename: post-production schedule – [project name].doc or .docx or .pdf
Marketing strategy articulating: - how it is proposed to sell the project to the intended audience (prepared with input from the domestic distributor)- proposed cross-platform strategy for project commercialisation- proposed international sales and distribution strategy (prepared with input from the ROW sales agent).filename: marketing strategy – [project name].doc or .docx or .pdf
Revenue projections (low, medium, high) for ANZ, provided by the domestic distributor.filename: Revenue projections – [project name].doc or .docx or .pdf
VIDEO MATERIAL – POST-PRODUCTIONPlease provide an assembly, rough or fine cut or compile of project (either as a link or on DVD or USB)
Online screening link if available
(This must be a download-enabled link for Screen Australia record-keeping purposes.)
OR Password if relevant:
On USB/DVD. Please note, DVDs/USBs will not be returned.Send or deliver 3 copies, along with a printout of the application form, to the address below.
Screen Australia, Program OperationsLevel 7, 45 Jones Street ULTIMO NSW 2007
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 17
14. GENERAL ELIGIBILITY
Do the Individual Applicants, Key Principles named in the application, Applicant Company or related parties, have any outstanding debts (eg debts under P & A loan agreements or gross proceeds not paid as required) to Screen Australia or its predecessors?
No Yes, to Screen Australia AFC FFC Film Australia If YES, please provide details:
Do the Individual Applicants, Key Principles named in the application, Applicant Company or related parties, have any other outstanding contractual obligations to Screen Australia or its predecessors on another project (eg overdue delivery items, audits, cost reports, recoupment reports)?
No Yes, to Screen Australia AFC FFC Film Australia If YES, please provide details:
The individual applicant undertakes that (please tick to confirm):
they are Australian citizens or residents
they are not enrolled full-time in a film, television or interactive digital media course at a film school or other tertiary educational institution
they are not employees of a broadcaster
Both the applicant company and (if applicable) individual applicants undertake that (please tick to confirm):
they will always act ‘in good faith’ in all their dealings with Screen Australia
they have the capacity and resources to carry out the project that is the subject of the application
they have the right to carry out the project that is the subject of the application (including any relevant copyright and clearances)
they have meaningful creative control of the project that is the subject of the application.
Where the applicant is a company (please tick to confirm):
it is incorporated in Australia, carries on business in Australia, and has its central management and control in Australia
it is not a broadcaster, a holding company or subsidiary of a broadcaster, or a company jointly owned by a broadcaster or holding company/subsidiary of a broadcaster.
15. DECLARATION
Applicants must provide accurate information to Screen Australia at all times. A person or company that makes a false or misleading statement to Screen Australia in an application may face criminal or civil liability including liability for an offence under the Criminal Code Act 1995.
In submitting this application, I declare that: (a) the information provided herein and in the supporting documentation submitted with this application is complete and accurate; and (b) I have read and agreed to the Screen Australia Terms of Trade and the relevant funding guidelines; and(c) I acknowledge that this application form contains personal information and that Screen Australia will manage this information in accordance with the Screen Australia Privacy Policy and the Privacy Act 1988. I have read and understand Screen Australia’s Privacy Policy. I have obtained the consent of all individuals named in this form to provide Screen Australia with the personal information about them in the form, and confirm that I have made them aware that this information will be managed in accordance with Screen Australia’s Privacy Policy and the Privacy Act 1988.
DATE: – –
DAY MON YEAR
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 18
16. SUBMITTING YOUR APPLICATION
Application forms and submission materials should be emailed to: [email protected] Screen Australia may request further information or material in relation to an application. However, this should not be
taken as an indication that Screen Australia will approve the application. Application forms, guidelines and handouts may be accessed at www.screenaustralia.gov.au/indigenous
Enquiries: Toll Free (available nationally): 1800 507 901; [email protected]
document.doc SCREEN AUSTRALIA INDIGENOUS APPLICATION FORM – FEATURE PRODUCTION – JULY 2015 19
