DRAMA PRODUCTION APPLICATION FORM

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					APPLICATION FORM
ROTTERDAM LAB TRAVEL ASSISTANCE
Applicants should refer to the Rotterdam Lab Travel Assistance Guidelines 2009 for specific details
about this program.

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ELIGIBILITY
All applicants and projects must meet the general eligibility criteria for Screen Australia funding in the Terms
of Trade.



NOMINATED CONTACT DETAILS
             Name of applicant
(applicant must be person travelling)

  Company name (if applicable)

             Daytime telephone                                     After hours telephone
                            Mobile                                                  Fax
                          Website
                             Email
 Address for correspondence
                                                                            State          Postcode
                               ABN


PRODUCER CREDITS
Please list your most recent producer credits
Film/program                               Credit                   Genre                   Release year




Please list any international screenings and awards for your projects
Film/program                               Credit                   Festival                Award, where relevant




Screen Australia APPLICATION FORM       FESTIVAL AND MARKETPLACE TRAVEL GRANTS                        JULY 2009   1
PROJECT INFORMATION

While Rotterdam Lab participants do not need to have completed a feature project in order to
learn about international marketing in the Lab environment, it would be a unique opportunity
for the experience to be applied to a project in development.

TITLE:

Format and gauge:

                                           Shoot Format                                                                                                                 Finish Format
                                           Shoot Gauge                                                                                                                   Finish Gauge

Genre
Please nominate one of the following genres that best describes your film:
      Drama                         Comedy                           Romantic comedy                                     Thriller                         Action/adventure                                Science fiction
      Horror                        Family                           Musical                                             Other                       ………………………………………………
This information is for analysis purposes only.

One-line synopsis (See SA handout What Is a Synopsis? An Outline? A Treatment?)
This section must be completed (please note there is a 600 character, or approximately 100 word, limit). Applicants must
ALSO attach a one-page synopsis separately.

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Has this project received development funding?                                                                                                       Yes                         No
If yes, please provide details?
              Year                                                                                                    Source                                                                                  Amount
                                                                                                                                                                                                  $
                                                                                                                                                                                                  $
                                                                                                                                                                                                  $
                                                                                                                                                                                                  $
TOTAL                                                                                                                                                                                             $

Team already attached
Director
Writer
Other producer/s
Cast (if any)




Screen Australia APPLICATION FORM                                   FESTIVAL AND MARKETPLACE TRAVEL GRANTS                                                                                                                JULY 2009     2
Draft stage .
 What draft stage is your script at?


Proposed budget .
   What is the proposed budget for this project?


Financing arrangements already in place

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Proposed distributor/s and sales agents for the project

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SIGNATURE
I declare that the information provided herein and in the supporting documentation submitted with this
application is complete and accurate.
                                                SIGNATURE OF APPLICANT:

                                                                                                       DATE:                               –                     –
                                                                                                                             DAY                   MON                      YEAR




TIME TAKEN TO FILL IN THIS APPLICATION FORM (fill in when you have completed form)
It is a Federal Government requirement that Screen Australia provide statistics on the time taken by
applicants to complete Screen Australia application forms. It would assist us to meet this requirement if
you provided the following information. Time taken to fill in this application form:
                              Hours                                                        Minutes




Screen Australia APPLICATION FORM                                   FESTIVAL AND MARKETPLACE TRAVEL GRANTS                                                                                                                JULY 2009     3
CHECKLIST – Rotterdam Lab
Before you send in your application, please:
•  Read the Marketing Department’s Rotterdam Lab Travel Assistance Guidelines for the specific
   requirements of your application.
• Complete all questions on this application form.
• Collate your materials, but do not bind or staple.
NB: Applications that do not include all the requested submission materials are considered
ineligible and cannot be assessed.
Applicants must submit TWO copies of the following:
     The completed application form.
     A producer profile including your filmography and a brief statement outlining your aspirations for
     the next five years of your career.
     Your argument for attending Rotterdam Lab, detailing what it will offer you as a producer
If you are unable to provide any of these documents, you need to contact the Marketing Support
Coordinator, Marketing Department, to discuss before you apply.




        SCREEN AUSTRALIA MARKETING DEPARTMENT CONTACT ADDRESSES
                                Applications and enquiries can be forwarded to:
                 Screen Australia                                        Screen Australia
               Marketing Department                                    Marketing Department
                  GPO Box 3984                                             PO Box 404
               SYDNEY NSW 2001                                      SOUTH MELBOURNE VIC 3205
                                                 or delivered to:
                 Level 4                                                     Level 1
              150 William St                                               144 Moray St
        WOOLLOOMOOLOO NSW 2011                                      SOUTH MELBOURNE VIC 3205


                                         Toll Free (available nationally):
                                                  1800 213 099


                                                    Email:
                                      nicole.powell@screenaustralia.gov.au


    Screen Australia is happy to respond to email enquiries on questions of Screen Australia
                    funding but please do not forward applications by email.
         Screen Australia application forms, guidelines and handouts may be accessed at
                                    www.screenaustralia.gov.au




Screen Australia APPLICATION FORM   FESTIVAL AND MARKETPLACE TRAVEL GRANTS                       JULY 2009   4
DIVERSITY FORM: ROTTERDAM FILM LAB

Screen Australia is committed to the responsive, equitable and effective delivery of its services and
activities to a diverse population.
In order to assist in monitoring Screen Australia’s performance in relation to diversity, it would be greatly
appreciated if you would complete this form and include it with your application. This information is removed
prior to processing of applications and is only used to generate aggregated statistics.
Thank you for your assistance.


 Date of application:                                               –            –

Please tick the relevant boxes (copy this form if necessary):


  Role in this                   Producer                      Director                      Writer
  application

  Gender                            Male        Female            Male        Female            Male        Female

  Country of birth                  Australia                     Australia                     Australia
                                    Other                         Other                         Other
                                 Specify:                      Specify:                      Specify:

  Are you of Aboriginal or          Yes       No                  Yes       No                  Yes       No
  Torres Strait Islander
  descent?

  Do you speak a                    Yes     No, English only      Yes     No, English only      Yes     No, English only
  language other than
  English at home?

      If yes:
    - Specify language
    spoken at home:

    - How well do you               Very well                     Very well                     Very well
    speak English?                  Well                          Well                          Well
                                    Not well                      Not well                      Not well
                                    Not well at all               Not well at all               Not well at all

  Do you have a                     Yes       No                  Yes       No                  Yes       No
  disability?
  If yes, please specify:




      Screen Australia APPLICATION FORM   FESTIVAL AND MARKETPLACE TRAVEL GRANTS                                  JULY 2009   5