APPLICATION FORM:
P&APLUS
FLEXIBLE MARKETPLACE SUPPORT / When completing this form, please make sure you:
  • read Screen Australia’s guidelines forP&A Plus.
  • complete all questions on this application form
  • compile the supporting documentationspecified on page 6.
This form must be completed using Microsoft Word.
The fields expand as you type, and you can use the tab key to jump to the next field.
Before submitting an application for any P&A support, please discuss your application with the Distribution Manager, on 02 8113 5879.This is a requirement if you are seeking support for an alternative release.
PROJECT TITLE
AKA (list any former titles)
APPLICANT COMPANY
(generally the distributor; see Eligibility below) / ABN

PRIMARY CONTACT FOR THIS APPLICATION

This is the Company Principal responsible for this application, to whom all official correspondence will be sent.

Name / Role:
Mobile / Email
APPLYING FOR: / $ / Total P&A/budget including proposed Screen Australia funds: / $
NB: The amount provided by Screen Australia will be determined with regard to the estimate for the returns, the proposed use of the funds and the strategy for the entire release/campaign.
ADDITIONAL CONTACT PERSON IF RELEVANT
All official correspondence will be sent to Primary Contact indicated 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
ELIGIBILITY STATEMENT

Please tick to confirm that:

The project is a feature-length Australian film, and

The application demonstrates proven expertise and/or experience relevant to the marketing and release of feature films, and

The application has the endorsement and involvement of the film’s producer, and

Support is not requested retrospectively.

AND EITHER:

The applicantis a recognised local distributorthathas a contractual commitment to the film, and has already committed, or is planning to commit, a significant P&A investment in the film appropriate to the type of film and its perceived market potential

OR

The applicant has been invited to apply for support for an alternative release or innovative marketing initiatives.

Applicants must also complete the section under General Eligibility on page 5.

APPLICANT PROFILE

Please provide a brief profile(max 300 words) of the applicant company (and any other parties directly involved in the proposal), highlighting experience relevant to this project.

PROJECT DETAILS

Type: Feature Theatrical documentary Technique Animation Live action 3D

Duration / mins

GENRE

Select which genre best describes the project:

Fiction genresDocumentary genres

Action adventure
Comedy
Drama
Horror / Musical
Romantic comedy
Thriller
Western / Crime
Mystery
Science fiction
Family / History & national identity
Science
Natural history environment / Social contemporary
Art and culture
Religion and ethics

SYNOPSIS

ONE-LINE SYNOPSIS (LOGLINE):
ONE-PARAGRAPH SYNOPSIS:

KEY PRINCIPALS

Role / Name
[select]ProducerDirectorWriterExecutive ProducerEditorDirector of PhotographyComposerProduction Designer
[select]ProducerDirectorWriterExecutive ProducerEditorDirector of PhotographyComposerProduction Designer
[select]ProducerDirectorWriterExecutive ProducerEditorDirector of PhotographyComposerProduction Designer
[select]ProducerDirectorWriterExecutive ProducerEditorDirector of PhotographyComposerProduction Designer
[select]ProducerDirectorWriterExecutive ProducerEditorDirector of PhotographyComposerProduction Designer

KEY CAST

RELEASE DETAILS
ANTICIPATED FIRSTRELEASE DATE:

PLATFORM/S:

THEATRICAL / Proposed scale of release (no. screens)
Box office projection:
OTHER(please specify)
Revenue/audience/ projection:

TARGET AUDIENCE AND DISTRIBUTION STRATEGY SUMMARY

Summarise (max. 500 words) the key characteristics of the project’s target audience/s, and the key elements of your strategy for reaching them.

PROPOSAL – USE OF SCREEN AUSTRALIA FUNDS

Briefly summarise(max. 500 words) how Screen Australia funds will be spent and the impact of this additional expenditure on the release outcomes for the project.

CONTRACTING INFORMATION

Please provide the requested information for the company with whom Screen Australia will contract if this application is successful.

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(NOT PO box)
State / [select]ACTNSWNTQldSATasVicWA / 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
GENERAL ELIGIBILITY
Do the applicant/s or any related partieshave any outstanding debts (eg overdue repayments under P & A loan agreements, gross proceedsnot 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 applicant/sor any related parties have any other outstanding contractual obligations to Screen Australia or its predecessors on another project (eg delivery items, audits, cost reports, recoupment reportsdue but not provided)?
No Yes, to Screen Australia AFC FFC Film Australia If YES, please provide details:

Both the Applicant Company and the Company Principal undertakethat (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 are incorporated in Australia, carry on business in Australia, and have central management and control in Australia.
Note, that the Terms of Trade state that, when applying for P&A funding, a company which would otherwise be ineligible under this provision may be funded where it is considered appropriate in all the circumstances to do so.

they are 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.

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
SUBMISSION MATERIALS CHECKLIST
YOU MUST PROVIDE THE FOLLOWING MATERIALS:
Check each box to indicate that the document has been provided, or tick ‘Not applicable’ where relevant.
Each document must be named as specified in the checklist.
Completed application form.Word format only: filename=application form - [project name].doc or .docx
A full marketing/releaseplan, including details and documentation of any other marketing funding secured and/or applied for.filename=marketing plan - [project name].doc or .docx or .pdf
A complete budget for the proposed release. (Screen Australia reserves the right to approve amendments to this budget as a condition of the provision of funds.)filename=budget P&A - [project name].xls or .xlsx or .pdf
A statement from the producer endorsing the application for the funds.
filename=producer statement - [project name].doc or .docx or .pdf Not applicable
Full details of any marketing and distribution arrangementssuch assub-distribution arrangementsor marketing contributions from other parties. (Screen Australia may request copies of all agreements.)
filename=distributionarrangements - [project name].doc or .docx or .pdfNot applicable
If the applicant has been invited to apply, a copy of the email invitation
filename=invitation - [project name].doc or .docx or .pdfNot applicable
Examples of any publicity or promotional material produced to date.
filename=PR - [project name].pdf]Not applicable
You may also be asked to provide a preview DVD of the project.
SUBMITTING YOUR APPLICATION
Email this form and supporting documents to
NOTE: We need all specified materials in order to properly process your application. We won’t be able to assess it if anything is missing, which means we’ll have to deem your application ineligible.
Please contact our Program Operations teamon1800 507 901 if you are concerned that you will be unable to meet this requirement.
Screen Australia, Program Operations
Level 7, 45 Jones St
ULTIMO NSW 2007

App_PandA_20150701_V3.docSCREEN AUSTRALIA APPLICATION FORM – P&A PLUS – July 20151