Form Center

2. 
3. PROGRAM PROPOSAL
5. Name (first, last)
6. Organization (if applicable)
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
15. Email Address
17. Production will be:

    1. LIVE
    2. Recorded
18. Length of Program:

    1. Single One Time shoot
    2. Weekly Series
    3. Monthly Series
    4. Other
20. Program Format

    1. News Discussion
    2. Educational
    3. Entertainment
    4. Public Service Announcement

    1. Special Event
    2. Personality Profile
    3. Other
21. Have you been trained on MCCAM equipment?

    1. yes
    2. no
23. Detail the production assistance required:
24. Do you have any TV production experience? Please describe:
26. Program Title:
27. Program Objectives:
29. Intended Audience:
30. Program length

    1. 15 minutes
    2. 30 minutes
    3. 60 minutes
    4. 120 minutes
    5. other
31. if "other", how long do you expect your program to run?
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field