Dear Sir or Madam, - New Brunswick



Department of Tourism, Heritage, and Culture

New Brunswick Film, Television & Multimedia Industry Support Program (2021-2022)

Application Form

IMPORTANT NOTE: Applicants to this program should expect a response within approximately 60 days of submitting. Response times may vary according to the completeness of the application and/or the availability of funds remaining in the program, as well as the number of applications submitted to the program. A program officer will contact the applicant if additional information is required to complete the assessment of the funding request. The submission of an application for funding does not guarantee a grant. New applicants are encouraged to contact the Department to discuss their readiness for the program before applying.

COVID-19 IMPORTANT UPDATE:

In addition to providing the regular required documentation, applications must develop an operational plan that demonstrates the producer will ensure that all screening, physical distancing, self-isolation directives and COVID-19 regulations in place by the Province of New Brunswick and municipalities within New Brunswick are respected.

|Section 1 – Applicant Information |

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|Name: | | | |

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|Mailing Address: | | | |

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|Address: | | | |

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|City/Town: | |Province: |Postal Code: |

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|Telephone: |Fax: |Email: | |

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|Contact Person: | |Title: | |

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|Corporate Information Required: |

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|Name (if different from above): | | | |

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|Production company Incorporation number: |

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|Incorporated under the laws of: |

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|Are there any other companies associated with the project?: Yes No |

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|If yes, please complete for each production company including co-producers (add separate pages if necessary) |

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|Name: | | | |

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|Mailing Address: | | | |

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|Address: | | | |

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|City/Town: | |Province: |Postal Code: |

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|Telephone: |Fax: |Email: | |

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|Contact Person: | |Title: | |

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|Section 2 – Project Description |

|Type of application: Development grant: Production grant: |

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|Incentive option: Labour based: All spent based: (Production only) |

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|Title of project: _________________________________________ |

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|Production Category: |

|Genre |Type |

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|Film |Documentary |Reality/Lifestyle |New media | |

|Animation |Variety |Feature film |Movie of the week (MOW) | |

|Children |Educational |Short film (30 min +) |Series | |

| | |Mini-series | | |

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|Other  ________________________________________________________________________________________ |

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|Cost of production: _________________________ Amount applied for: ____________________________ |

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|If in reference to a series, indicate the number of episodes: _______________________________ |

|Section 3 - Producer and Key Personnel |

|Category |Name |Residence |

|Producer: | | |

|Co-producer: | | |

|Director: | | |

|Screenwriter: | | |

|Executive producer: | | |

|Other producer: | | |

|Section 4 - Additional Information |

Applications for development or production grants will be subject to an evaluation process, and therefore should be prepared and submitted in a professional manner. Incomplete applications could delay the evaluation process or the result in the application not being considered for funding.

In addition to the completed, dated, and signed application form, the applicant must include the materials listed below:

Treatment, synopsis, or a short description of the project;

A detailed development or production budget; estimates of overall expenditures to be incurred in New Brunswick; estimates of labor expenditures to be incurred in New Brunswick;

Detailed financial structure with the customary letters of confirmation (broadcaster, Telefilm Canada, Canada Media Fund) if applicable;

Details of chain of title;

Details about efforts that will be made to include New Brunswick residents in the creative content of the project including: principal writer, principal director, actors, stunt performers, cinematographers, sound designers, musical score, etc. (if applicable)

Co-production agreement if applicable;

Distribution plan if applicable;

Producer’s credit or short biography;

A copy of the latest concept, synopsis, treatment, bible or script.

|Section 5 – Statement |

I acknowledge that the Department of Tourism, Heritage and Culture (the Department) will have the authority to discuss this application (including all documentation provided thereunder) with other funders such as Telefilm Canada and the Canada Media Fund and any other persons or entities associated with the production.

I also acknowledge that the Department may request additional information in order to complete the analysis of my application and I agree to provide any additional requested documentation in a timely manner.

I am authorized to sign on behalf of the company and I certify that I have examined this application and supporting documents and I declare and warrant that, to the best of my knowledge, the information contained herein is true and complete.

I also declare that I will comply with the regulations in effect within the Department.

|Signature | |Title |

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|Name (please print) | |Date |

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Please send your application and supporting documents via email to:

culture@gnb.ca

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