Project Title *:
Applicant (Project Director):*
Applicant's primary role on this project *:
Address:
Country:
Phone Number*:
Logline - Provide a 1 to 2 sentence descriptive summary of the overall story you plan to tell:
Total Project Budget*:
Amount of funding to date*:
List funding sources and amounts provided to date*:
Current Stage of Production *:
I. Proposal - upload your proposal in pdf format.
II. Budget - upload your budget in pdf format
III. Letters of Support or Supplemental Material. (optional)
IV. Sample Work - provide the URL to view your sample work.:
Sample work password (optional):
Statements of Agreement
Read and select "I agree" below
i. The enclosed application (“Application”) and all of the information submitted in connection therewith to the Partnerships For Change® (PFC®) is accurate;
ii. PFC® is not responsible for loss or damage to the Materials, or for any misuse by any third party unless done under PFC®'s express direction or authorization;
iii. I own or control all of the Materials and all right title and interest including copyright of the film or project described in the Application (the “Project”).
iv. The Project and the Material are wholly original with me and do not infringe upon, violate the rights or constitute a libel, slander, or an unfair competition against, or infringe upon or violate the copyright, common law rights, or literary, dramatic, photoplay rights or privacy or publicity, or any other rights of the person, firm, corporation or other entity.
v. I have read and understand the guidelines and eligibility requirements at www.partnershipsforchange.com/*** and to the best of my knowledge am eligible to apply to PFC®'s Fiscal Sponsorship Program with the Project described in the Application.
