Page 1 of Screen Tasmania Application Form 3.0 Project Development Program 3.1 Television Development Fund 3.2 Documentary Signature Fund 3.3 Feature Film Fund 3.4 New Writers Fund A : GENERAL INFORMATION Applicants must make contact with a Screen Tasmania project officer prior to submitting applications. The allocation of project officers is subject to availability and workload. This application form should be completed in compliance with Screen Tasmania’s relevant project development guideline (either 3.1 Television Development Fund ; 3.2 Documentary Signature Fund ; 3.3 Feature Film Fund ; or 3.4 New Writers Fund , General Guidelines and Terms of Trade . Please refer to these guidelines for the specific requirements of your application. Please provide the name of the Screen Tasmania Project Officer with whom you have discussed your application. Applicant Details Applicant 1 Titl e: First Name: Surname : Applicant 2 Titl e: First Name: Surname : Contact person Applicant 1 Applicant 2 Contracting entity Individual Company..... Other (please specify) Company name (if applicable)
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Page 1 of 19
Screen TasmaniaApplication Form3.0 Project Development Program
3.1 Television Development Fund3.2 Documentary Signature Fund 3.3 Feature Film Fund3.4 New Writers Fund
A : GENERAL INFORMATIONApplicants must make contact with a Screen Tasmania project officer prior to submitting applications. The allocation of project officers is subject to availability and workload.This application form should be completed in compliance with Screen Tasmania’s relevant project development guideline (either 3.1 Television Development Fund; 3.2 Documentary Signature Fund; 3.3 Feature Film Fund; or 3.4 New Writers Fund , General Guidelines and Terms of Trade. Please refer to these guidelines for the specific requirements of your application.Please provide the name of the Screen Tasmania Project Officer with whom you have discussed your application.
Applicant Details
Applicant 1 Title: First Name:
Surname:
Applicant 2 Title: First Name:
Surname:
Contact person Applicant 1 Applicant 2
Contracting entity
Individual Company Other (please specify) .........................
Company name (if applicable)
Contracting entity’s ABN
Is the contracting entity registered for GST Yes No
Project synopsis (this section must be competed - maximum of 4 lines)
Which fund are you applying for?
Television Development Fund Pitching documents (Please refer to
Checklist B.1)
Feature Film Fund Treatment-to-draft (Please refer to Checklist
A.1)
Teaser/Trailer/Sizzle reel (Please refer to Checklist B.2)
Draft-to-draft (Please refer to Checklist A.2)
Draft scripts (Please refer to Checklist B.3)
Documentary Signature Fund (Please refer to Checklist C)
New Writers Fund (Please refer to Checklist D)
Project Type
Feature Film Telemovie Television Drama Series
Television Comedy Series
Television Documentary Series
Television Animation Series
One-off Documentary
Delivery Platforms (tick one or more)
Cinema release Television broadcast Website
Subscription TV DVD Wireless / mobile
Other (please specify)
Number of episodes Duration (minutes)
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Genre
Circa
Setting
Indigenous story content (if yes, an additional copy of the script is required)
Yes No
SECTION B : PROJECT SUMMARY cont’d
Please indicate the censorship rating you aim to obtain for the project
Cinema G PG M MA 15+ R 18+ X 18+Television P C G PG M MA 15+ AV 15+
Who is the audience for the project?
Will the project be made in Tasmania? Wholly Partly
Please provide details:
Do you have any marketplace interest in this project? Yes No
Please provide details
Estimated time to complete the next development stage
Please list the proposed deliverables for next stage
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SECTION C : CREATIVE TEAMCreative teamPlease specify the names of the team and place of residence (state or country) and indicate whether proposed (P) or confirmed (C)
Role Name Residence Proposed/Confirmed
Executive producer P C
Producer P C
Director P C
Script writer(s) P C
Script Editor P C
Researcher P C
Production manager P C
Director of photography
P C
Production designer P C
Editor P C
Other (please specify relevant crew for teaser/trailer)
P C
Please list recent produced credits for the Producer
Project Name Type Role Duration Year
Please list recent produced credits for the Director
Project Name Type Role Duration Year
SECTION C : CREATIVE TEAM cont’d
Please list recent produced credits for the Script Writer(s)
Project Name Type Role Duration Year
Please list recent produced credits for the Script Editor
Project Name Type Role Duration Year
SECTION D : FINANCIAL INFORMATIONEstimated production budget $
Estimated budget for this stage of development $
Amount sought from Screen Tasmania $
Has this project been considered by Screen Tasmania previously? Yes No
If yes, please provide details
Date Stage Project Title
Amount requested/funde
d Funded
$ Yes No
$ Yes No
Have other funding bodies provided money for development? Yes No
If yes, provide details and when it will be considered Date of application Name of funding body
Amount requested/fund
ed Status
$
$
$
Copyright informationThe applicant must be the originator of the script or treatment concerned, or the holder of the copyright, or have an option to the rights in any and all works on which the project is to be based. Evidence of copyright must be submitted with this application. Screen Tasmania will only contract with copyright holders of the works.
Name(s) of originator
Is the work an original idea of yours (the applicant)? Yes No
If yes, please provide statement of copyright
If no, have you (the applicant) acquired all rights from the copyright owner/co-writers?
Yes No
If yes, please attach all relevant documentation
SECTION D : FINANCIAL INFORMATION cont’d
Is this partly or wholly based on a real person/event? Yes No
If yes, please attach details on a separate sheet including relevant permissions and clearances.
Development budget breakdown It is not necessary to complete all sections, only those relevant to your project and its
particular stage of development Applicants should provide budgets exclusive of GST Screen Tasmania reserves the right to negotiate amendments to the budget as a
condition of the provision of funds Screen Tasmania does not fund retrospectively.
Category
Screen Tasmania Funding
Applicant’scontributio
n *
Other funding ^
Previous$
Requested$
Amount$
Source$
Amount$
Option on rights n/a n/aPurchase of rights n/a n/aDraft writer’s feeCo-writers feeScript editor’s feeProducer’s feeDirector’s feeExecutive producer’s feeConsultant’s feeResearch feesResearch costsTravel costs #
Accommodation #
Workshop costs #
SECTION D : FINANCIAL INFORMATION cont’d
Category
Screen TasmaniaFunding
Applicant’scontributio
n *
Other funding ^
Previous$
Requested$
Amount$
Source$
Amount$
Legal fees n/a n/aOffice overheadsTrailer below the line production costs Pitch materialsOther – please specify:
Total:
# Please attach a separate breakdown sheet and narrative description Please also attach a complete estimated budget cost breakdown using Screen Australia’s A-Z
Budget and shooting schedule* Applicant contribution (deferrals, production company investment)^ Other funding (broadcasters / government funding agencies)
A Feature Film FundA.1 Treatment-to-draftPlease submit one electronic copy and two hard copies of the following: a completed application form a logline a one paragraph synopsis (maximum eight lines) 10-25 page treatment a completed project history, market overview, next stage notes and script analysis
templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
Tasmania the curriculum vitae of applicants and key creative.
A.2 Draft-to-draftPlease submit one electronic copy and two hard copies of the following: a completed application form a logline a one paragraph synopsis (maximum eight lines) draft script (between 80-120 pages) a completed project history, market overview, next stage notes and script analysis
templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
Tasmania the curriculum vitae of applicants and key creatives.
B Television Development FundB.1 Pitch documentsPlease submit one electronic copy and two hard copies of the following:a completed application forma loglinea one paragraph synopsis (maximum eight lines)a brief series outline including story arc, setting, style and genreone paragraph synopses for six episodes and one paragraph breakdowns of
main charactersa four to 10 page treatment of the first episodea completed project history, market strategy, next stage notes and script analysis
templatesa statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
Tasmania the curriculum vitae of applicants and key creatives.
B.2 Teasers/trailersPlease submit one electronic copy and two hard copies of the following: a completed application form a logline a one paragraph synopsis (maximum eight lines) a trailer shooting script a shooting schedule and budget the proposed cast a brief series outline including story arc, setting, style and genre one paragraph synopses for six episodes and one paragraph breakdowns of
main characters a four to 10 page treatment of the first episode a draft script (if available) a completed project history, market strategy, next stage notes and script analysis
templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
Tasmania the curriculum vitae of applicants and key creatives.
B Television Development Fund cont’dB.3 draft scripts
Please submit one electronic copy and two hard copies of the following: evidence of genuine marketplace interest a completed application form a logline a brief series outline including story arc, setting, style and genre one paragraph synopses for six episodes and one paragraph breakdowns of
main characters a four to 10 page treatment of the first episode a completed project history, market strategy, next stage notes and script analysis
templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
Tasmania the curriculum vitae of applicants and key creative
Please note that applications for animated television series are expected to provide the same materials at each stage, as well as: an art style document (art bible) visual references for the characters.
Please submit one electronic copy and two hard copies of the following: a completed application form a logline a one paragraph synopsis (maximum eight lines) an extended outline of preliminary treatment (ideally between six and 15 pages) a completed project history, market overview, next stage notes and script analysis
templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) written agreements with key subjects, demonstrating their involvement in and
commitment to the project a statement articulating the economic and cultural benefits of the project to
Tasmania a curriculum vitae of applicants and key creatives.
Please submit one electronic copy and two hard copies of the following: a completed application form a logline a one paragraph synopsis (maximum eight lines) a one to two page synopsis a draft script (between 80-120 pages) a completed project history, next stage notes and script analysis templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
Tasmania the curriculum vitae of the applicant.
D.2 Television Fiction
Please submit one electronic copy and two hard copies of the following: a completed application form a logline a one paragraph synopsis (maximum eight lines) synopses for a minimum of three episodes, concept outline, character breakdowns,
and outlines of style and genre a draft script (either 30-minute or one hour television series episode format) a completed project history, next stage notes and script analysis templates a statement of copyright and chain of title documents (if the work is based on an
underlying work by a person other than the applicant) a statement articulating the economic and cultural benefits of the project to
SECTION F : DECLARATION & SIGNATUREPublicity of AssistanceUnlike private sector financial organisations, the Department of Economic Development, Tourism and the Arts (the department) disburses public funds and is therefore accountable for the distribution of those funds. As part of the accountability process, the department may publicise the level of its financial assistance including the terms and conditions of the financial assistance as provided in the confidentiality requirements set out in the legal documentation entered into with you.Right to InformationYou should also be aware that information you provide to the department, and details of any financial assistance package, may be subject to requests for public disclosure under the Right to Information Act 2009 provided that information is not subject to the confidentiality requirements set out in the legal documentation entered into with you.Personal Information Protection Personal information will be collected from you for the purpose of undertaking the department’s activities. Your personal information will be used for the primary purpose for which it is collected and may be used for other purposes permitted by the Tasmanian Development Act 1983 and may be disclosed to contractors and agents of the department or affiliated bodies, and other organisations authorised to collect it. Your basic personal information may be disclosed to other public sector bodies where necessary for the efficient storage and use of the information. Personal information will be managed in accordance with the Personal Information Protection Act 2004 and may be accessed by the individual to whom it relates on request to the department’s personal information protection officer on (03) 6233 5888. You may be charged a fee for this service.
Have you read and understood the confidentiality regulations above? Yes No
Screen Tasmania is required to identify all relevant financial or personal interests that may exist between board members or employees of Screen Tasmania and applicants. This is to ensure that measures can be introduced to prevent a conflict of interest arising between those persons assessing the application for Screen Tasmania and such applicant. For these purposes please select the relevant statement below:
‘I (the applicant and my colleagues on the project) do not have a financial and/or close personal relationship with a board member or employee of Screen Tasmania.
I (the applicant and my colleagues on the project) do have a financial and/or close personal relationship with a board member or employee of Screen Tasmania. The nature of such relationship is:
I/we acknowledge this submission in no way inhibits or prejudices Screen Tasmania from becoming involved in or developing other projects which may or may not have various similarities with my project.
No agreement, arrangement or obligation shall be deemed to exist between Screen Tasmania and myself/us unless and until a formal contract is made between us.
SECTION F : DECLARATION & SIGNATURE cont’d
I/we are aware that in the event of this application being approved, no contracting will occur until Screen Tasmania has been provided with copies of executed documents giving the contracting party the right to exploit the material being the subject of the application either by way of assignment of copyright or an opinion.
I/we state the details provided in this application are true and correct.
Signature Print name
Signature Print name
Witness Print name
Date ……..…/……..…/……..…
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SECTION G : STATISTICAL DATA
Screen Tasmania is compiling statistics on applications for its funding programs. To assist us, we appreciate the completion of the form below and return it with your application.This information is removed prior to processing of applications and is only used to generate aggregated statistics.
Date of application ……..…/……..…/……..…
Gender Female Male
Country of birth
If you are a Tasmanian resident, what area of the state do you reside in?
Are you of Aboriginal or Torres Strait Islander descent? Yes No
Do you speak a language other than English at home? Yes No
If yes, please specify language/s spoken at home.
How well do you speak English? very well well not wellnot well at all
