INDIGENOUS DEPARTMENT
FUNDING APPLICATION:
DOCUMENTARY PRODUCTION
or POST-PRODUCTION / DATE OF APPLICATION:
I AM ALSO APPLYING FOR PRODUCER EQUITY
–  IF SO, HAVE YOU PREVIOUSLY APPLIED FOR THE PRODUCER OFFSET? Yes No
If yes, please advise the Producer Offset & Co-production Unit that your project is no longer eligible for the Producer Offset.
Please make sure you:
·  read Screen Australia’s guidelines for this program
·  complete all questions on this application form, and compile the supporting documentation specified on page 13
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]ProducerExecutive ProducerDirectorWriter
Mobile / Email / State of residence / [select]ACTNSWNTQldSATasVicWA
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 requested / $ / For Production OR
Post-production (max. $100,000) / Total budget
(do not insert a range) / $
One-off documentary of mins / OR / Series of episodes of mins each / $/ep
Domestic broadcaster (required for all applications)

PREVIOUS SUBMISSIONS

Please 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

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 director is Aboriginal or Torres Strait Islander.

The producer or director has at least one eligible documentary credit.

In the case of co-writing teams, made up of Indigenous and non-Indigenous writers, the original concept must come from the Indigenous writer.

An ‘eligible documentary credit’ under this program is a documentary film or program of at least a broadcast half hour in duration, which is less than 10 years old, and has either:
- been broadcast by a recognised broadcaster or channel; or
- had a commercial theatrical release; or
- been invited to screen at IDFA, Hot Docs, or equivalent.

Note that credits must fall within the definition of ‘documentary’ set out here. Corporate, education, training, sports, news programs etc are not acceptable.

You will need to list your credits in Section 2 of this form.

Project details:

One must be ticked:

The project is broadcast half hour or less in duration; and
the producer and director each has one ‘eligible documentary credit’

or

The project is longer than a broadcast half hour in duration, and
the producer, director and writer each has one eligible documentary credit.

Market attachments

If the application is for production funding:

The project has a local presale for Australian free-to-air or subscription television rights, with a minimum licence fee of $135,000 per broadcast hour, as per the guidelines for this program.

If the application is for post-production funding:

The project has a post-production presale to a domestic broadcaster with a licence fee of at least $30,000 per broadcast hour or part thereof, and the total broadcaster contribution matches the Screen Australia funding requested.

Previous submissions

Has the project previously received funding under this program? No Yes

If YES, how many broadcast hours have been funded? (Screen Australia will not fund more than 26 broadcast hours, including any previous series.)

Has the project previously been assessed and declined for funding under this program? No Yes

If 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 16.

2. CREATIVE TEAM

KEY 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]ProducerExecutive ProducerDirectorWriter
Gender: / [select]MaleFemale / Australian citizen/resident: / [select]CitizenResidentNeither / State of residence / [select]ACTNSWNTQldSATasVicWA
Mobile: / Email:

Relevant credits:

Project title / Credited role / Type (short doc, series, etc) / Duration / Budget ($) / Release year / Release details (broadcast, screening or festival info)

200-word bio

NAME / Role on project: / [select]ProducerExecutive ProducerDirectorWriter
Gender: / [select]MaleFemale / Australian citizen/resident: / [select]CitizenResidentNeither / State of residence / [select]ACTNSWNTQldSATasVicWA
Mobile: / Email:

Relevant credits:

Project title / Credited role / Type (short doc, series, etc) / Duration / Budget ($) / Release year / Release details (broadcast, screening or festival info)

200-word bio

NAME / Role on project: / [select]ProducerExecutive ProducerDirectorWriter
Gender: / [select]MaleFemale / Australian citizen/resident: / [select]CitizenResidentNeither / State of residence / [select]ACTNSWNTQldSATasVicWA
Mobile: / Email:

Relevant credits:

Project title / Credited role / Type (short doc, series, etc) / Duration / Budget ($) / Release year / Release details (broadcast, screening or festival info)

200-word bio

NAME / Role on project: / [select]ProducerExecutive ProducerDirectorWriter
Gender: / [select]MaleFemale / Australian citizen/resident: / [select]CitizenResidentNeither / State of residence / [select]ACTNSWNTQldSATasVicWA
Mobile: / Email:

Relevant credits:

Project title / Credited role / Type (short doc, series, etc) / Duration / Budget ($) / Release year / Release details (broadcast, screening or festival info)

200-word bio

DIRECTOR’S PREVIOUS WORK

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 Operations

Level 7, 45 Jones Street

ULTIMO NSW 2007

3. PROJECT CREATIVE DETAILS
FORMAT Shoot format / Distribution format:

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)

KEY CREW (where applicable)
Role / Name / Confirmed? / Australian resident/ citizen?
D.O.P. / [select]ConfirmedProposed / [select]CitizenResidentNeither
Composer / [select]ConfirmedProposed / [select]CitizenResidentNeither
Prod. Manager / [select]ConfirmedProposed / [select]CitizenResidentNeither
[select]ConfirmedProposed / [select]CitizenResidentNeither
[select]ConfirmedProposed / [select]CitizenResidentNeither
[select]ConfirmedProposed / [select]CitizenResidentNeither


If any of the key crew above are Indigenous, please list them here:

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 Documentary Production 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 No

If 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 SCHEDULE

Date (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 / //
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 µ) / Documentation/Status
(see below µ)
/ 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]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther
[select]ScriptTreatmentBookShort storyConcept documentEPOCPrototypeFilmTV programOnline series/webisodesOnline or tablet gameInteractive websiteOther

µ 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.

7. CLEARANCES
Is the project partly or wholly based on a real life event or person? [select]YesNo
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]YesNo
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
Email
What did they advise you about?
Name
Company (if applicable)
Phone / Mobile
Email
What did they advise you about?
9. BUDGET AND 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
See also www.screenaustralia.gov.au/funding/business/Applicant_info.aspx for general budget requirements.

·  A finance plan spreadsheet using the template available from www.screenaustralia.gov.au/indigenous

PREVIOUS FUNDING

Please 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)