Chicago Digital Media Production Fund 2014

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1 2014 Report Fields Project Name* Amount Requested* Applicant Name* Name of Applicant/Filmmaker Character Limit: 120 Organization Name Name of Organization, if applicable. Otherwise, leave blank. Character Limit: 120 Project Description* Briefly describe the project in 1-2 sentences Character Limit: 300 Social Issue* Please select the predominant social issue addressed in the project. Addiction/Substance Abuse Ageism American Politics Body Image/Eating Disorders Body Modification Bullying Capital Punishment Censorship Child Abuse Child Labor Laws Conspiracy Theories Corruption Cultism Disabilities/Ableism Domestic Violence Drug Laws/War on Drugs Economy

2 Education Environment Environmental Justice Gambling Gang Life/Violence Gender Equality Gun Laws/Violence Healthcare Hunger Immigration LGBTQ Lifestyle/Equality Military/National Defense Money & Politics Obesity Poverty Prison Reform Prostitution Racism Rape/Rape Culture Religious Freedom Reproductive Rights Self Harm Suicide Technology Dependence Terrorism Tobacco/Smoking Laws Underemployment/Unemployment Under-served Communities Voter Rights War Welfare Women's Rights Other Social Issue - Other If "other" please describe. (Enter N/A if selected from the drop-down list) Character Limit: 200 Genre* Please select the genre that best describes the project. Animated Feature Animated Short Animated Webisodes Documentary Feature Documentary Short Documentary Webisodes

3 Experimental Feature Experimental Short Experimental Webisodes Narrative Feature Narrative Short Narrative Webisodes Other Genre - other If "other" please describe. (Enter N/A if selected from the drop-down list) Character Limit: 200 Applicant Information Primary Creative Role of the Applicant* Director Producer Developer Age Range of Applicant* Please select the age range of the Applicant. Under Age of Applicant, if under 18 If the Applicant is over 18, please proceed to the next question. Character Limit: 5 If under 18, Name of Parent/Legal Guardian If the Applicant is over 18, please proceed to the next question. Character Limit: 50 Type of Applicant* Are you applying as an Individual or through a Non-Profit Organization? Individual Organization

4 Organization Information (if applicable) If you are applying as an Individual, please skip this section and proceed to "Project Information." If you are applying through a Non-Profit Organization, all fields in this section are mandatory and must be filled out in order to be considered for the grant. Name of Organization EIN/Tax Identification Number Character Limit: 50 Organization Telephone Number (XXX) XXX-XXXX Character Limit: 14 Organization Contact Name of the primary contact person at the organization. Business Title Address Executive Director (if not the Organization Contact) Should your project be selected to receive funding, the Executive Director will be required to sign all contractual agreements on behalf of the organization. Address 1 Address 2 City State

5 Postal Code Applicant's Affiliation to Organization Please describe how the Applicant is affiliated with the Organization. Project Information Current Stage of Production* Please select the option that best describes the project's current stage of production. Pre-Production Production Post-Production Estimated Run Time Character Limit: 20 Total Project Budget* Character Limit: 20 Estimated Completion Date* Character Limit: 10 Project Website (if applicable) Character Limit: 50 Project Details Project Synopsis:* Your project synopsis should include a creative statement explaining the applicant s motivation for making the work, as well as a description of the aesthetic strategy and artistic approach to the subject matter. Character Limit:

6 How will this project advance progressive social change? * What social theme does the project illuminate and why did you choose to focus on it? Describe with detail the ways this project will work to impact and address a pressing social issue. 0 Who is the intended audience?* Character Limit: 500 Please explain anything in this project that may be interpreted as inappropriate for youth.* Character Limit: 500 Online Distribution & Exhibition Plan* Please describe your plan for exhibition on the web. Include specific platforms you plan to use (project's website, organization's website, Vimeo, YouTube, etc.). Also describe how you intend to reach your desired audience. Be specific about how you would use social networking platforms to drive traffic to see your finished product, and any outreach partners you will have. Character Limit: 2000 Attachments Proof of Residency* Please attach a copy of valid ID with proof of Cook County residency in PDF form. For Individual Applicants who are 18 years or older, acceptable forms of ID are: -Valid State-issued Driver's License -Valid State-issued Photo ID -Residential rental/lease agreement -Valid, unexpired Illinois voter registration card -Utility statement (including electric, water, natural gas, satellite TV, cable TV or noncellular phone bill) dated within 90 days of the date of application For Individual Applicants who are under 18, a parent or legal guardian must attach one of the valid forms of ID listed above. For Non-profit Organization Applicants, acceptable forms of ID are: -IRS Determination Letter -Documentation from the Illinois Secretary of State File Size Limit: 2 MB

7 Project Timeline* Please attach a PDF of your project timeline including pre-production, production, and postproduction, with details and approximate dates. This should be a maximum of two pages in length. File Size Limit: 3 MB Relevant Project Documentation If available, please attach any relevant project documentation in PDF form. Examples include a screenplay synopsis (no more than six pages in length), a treatment, storyboards, stills, wireframes, etc. File Size Limit: 5 MB Bios of Key Talent/Crew* Please attach bios of all key talent and crew currently involved in the project (director, producer, editor, cameraperson, soundperson, programmer, software developer, documentary subjects, actors, etc.) in PDF form. Include any filmography, awards, and relevant coursework/degrees for the Applicant. Be sure to specify the roles of key personnel within the scope of this project. This should be a maximum of two pages in length. File Size Limit: 2 MB Project Budget* Please attach the budget for your project in PDF form. See budget template for example. You are welcome to use your own budget format or use the one provided. Please feel free to change the format so that it is relevant to your project. This should be a maximum of two pages in length. File Size Limit: 5 MB Budget Narrative* Please attach your budget narrative in PDF form. Your budget narrative should address the following where relevant: -Explanation of any in-kind contributions -Explanation of any major expenditures -Other important financial needs for the project -The intellectual property rights that need to be obtained (story, music, images), if applicable -The equipment needs of the project and which equipment you plan to rent or purchase, respectively -The fundraising plan to cover costs beyond this grant (include potential sources for cash donations and in-kind contributions) -The distribution plan for the project and how you intend to reach your desired audience (include plans for both online distribution and any potential screenings and festivals) This should be a maximum of two pages in length. File Size Limit: 5 MB

8 Sample Work If applicable, submit a link to footage or draft works in progress from your proposed project. Examples include trailers, rough cuts, scenes, wireframes, etc. Current Project Footage If you are including project footage, please include a brief description (1-3 sentences) of the footage. Please submit at least one link to an example of previous work by key creative personnel. This can be work by the director, producer, editor, cameraperson, soundperson, app or game designer, developer or programmer, etc. or some combination thereof. Feel free to submit up to 4 additional examples of previous work, but note that only one example is mandatory. Example of Previous Work (1 of 5)* involved, and specifically in what capacity they were involved with the work. You may provide up to five samples. * Example of Previous Work (2 of 5) involved, and specifically in what capacity they were involved with the work. Example of Previous Work (3 of 5) involved, and specifically in what capacity they were involved with the work

9 Example of Previous Work (4 of 5) involved, and specifically in what capacity they were involved with the work. Example of Previous Work (5 of 5) involved, and specifically in what capacity they were involved with the work

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