| Smithsonian Institution

Applicant's Contact Information

Name *

Company *

Country *

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Address *

Daytime Phone *

Fax

Email address *

The day you intend to begin filming:

Month

Day

Year

Please select the day you intend to begin filming.

The day you intend to finish filming:

Month

Day

Year

Please select the day you intend to finish filming.

Question Set

1a. Title of program *

1b. Description of the program: (Please limit your answer to 1,000 characters.) *

2. What Smithsonian location(s) are you requesting for this project? Please list the location(s) and the person(s) you have contacted. *

3. Have you been in contact with other departments about this project? Please describe.

4. If you wish to film specific objects or specimens at the Smithsonian, please list them.

5. Please list the names of Smithsonian staff members that you wish to interview and/or film. If you do not have specific names, please describe what types of expertise you are looking for.

6. How much time in the museum/unit or with the requested staff do you anticipate will be required? Please include set-up and break down.

7. How many minutes will the completed program run? *

8. How many minutes of the completed program will contain the Smithsonian content covered in this request (buildings, collections, staff, etc.)? *

Please note: A specific time must be entered in order to process your request.

9. What equipment will the crew bring? How many members in the crew? Please include the number and types of lights and total wattage to be used.

10. Has an outlet (cable, broadcast or Internet) agreed to the broadcast this program? If the program is slated for foreign distribution, please note which country and whether the program will ever air in the United States. (Please limit your answer to 150 characters or less. *

11. What are the proposed uses of this program (i.e., TV broadcast, home video, DVD, CD, webcast, publication)? *

12. Is there funding for this project? Are there program sponsors?

13. Who will own the copyright of the completed work?

14. What organization(s) or individuals will be receiving the program's gross and net proceeds?

15. What other organizations will be involved in the program and what type of credit will they receive?

16. What is the scheduled air date(s) or issue date? *

17. Will the name of the Smithsonian be used in this production? If so, how? How will the Smithsonian be credited?

18. Is this film application being submitted in association with a Smithsonian special event rental agreement/arrangement?

Yes

18a. If yes, who is the primary Smithsonian special event staff contact you are working with?

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