AfroPoP Submission Form

Program Title *
Synopsis *
Program Length (Check one) *
 Short (less than 26:40) 
 26:40 
 56:40 
 86:40 
 Other (indicate below) 
Other Program Length
Positions Held by Person of African Descent (Check all that apply)
 Producer 
 Director 
 Writer 
 Cinematographer 
 Editor 
Are US Broadcast Rights Currently Available? *
 Yes 
 No 
If No, when will they be available?
Current Distributor/Broadcaster:

Please list any other additional distributors of the program and the length of the terms (i.e. 2 years, 10 years) of the distribution.
Theatrical
Indicate both distributor and terms of distribution.
Home Video
Indicate both distributor and terms of distribution.
Educational
Indicate both distributor and terms of distribution.
Internet
Indicate both distributor and terms of distribution.
Are you a DIY/Independent distributor of this title?
 Yes 
 No 
Please list any Film Festivals in which this program has appeared?
Please list any websites where this program has streamed?
Please list the social media networks you have used to promote this film, and indicate the size of the virtual community you have sucessfully engaged.

Your Contact Information

A description of the section goes here.
Name
Prefix
First
Last
Suffix
Company
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Email
Phone Number

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Program Website (if any):
Upload PDFs, or Microsoft Word Documents for your other application elements.
ALL DVD/VIDEO WORK SAMPLES MUST BE SENT BY MAIL TO: NBPC, ATTN: AfroPoP. 68 East 131st Street, 7th Floor, New York, NY 10037
I have the right to submit this program and I agree to the statement below.
 I Agree 
 I Disagree 

By submitting a proposal, I grant NBPC the right to duplicate, use, disclose and distribute all submitted materials for purpose of evaluation and review. I also understand that by submission of this project to NBPC, NBPC is no way obligated to license this project for public television. I certify that all information contained in this application is true and that I have the right to submit this program to be reviewed by NBPC and all of its assigned.
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Deadline: Programs are accepted year round, however to be considered for the upcoming season of AfroPoP, programs should be submitted no later than December 1, 2012.