Date:________________

Project Director:

Name:__________________________________________

Address:________________________________________ Phone:______________

__________________________ Zip __________ Email:______________

Name of Tax-Exempt (501c3) Sponsoring Organization:______________________________

Address: _______________________________________ Phone:______________

__________________________ Zip __________ (enclose IRS exemption letter)

Date of any previous application to the Pioneer Fund______ Project Name________________

Note: Please submit a letter from the 501c3 organization listed above requesting funds on your behalf and agreeing to supervise your project. Proposals will not be accepted without this sponsorship letter.

Please send a VHS or DVD tape or clip of up to 10 minutes from the current project. Do not use staples, and do not use FedEx, express or certified mail. EXPRESS AND CERTIFIED MAIL WILL BE RETURNED TO THE SENDER. Use "delivery notification" if you don't trust the mail. Applications must be POSTMARKED no later than 12/15/08 to be considered at the meeting following the deadline.

Probable Film Title: _____________________________ Length: ________

Total Project Budget: ________________

( ) Color ( )B/W
Film: Super-8mm [ ] 16mm [ ]
Video : ( ) Super VHS ( ) 3/4" ( ) Hi8 ( ) Beta ( ) Digital ( )

Project Description: Describe the film's subject precisely and briefly. What are you going to do? Why is this film needed? Do not say "see enclosed".
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

At what stage is the Project now?
 
 
 
 
 
 

Treatment and Style: Discuss your conceptual ideas and technical approaches. What will the film look like?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Audience and Distribution: Who is your audience? How will the project be distributed to the widest possible audience?
 
 
 
 
 
 
 
 

Profile of Key Project Staff: Filmmakers should indicate precise roles in their two most recent films, as well as the films' dates, length, where exhibited, whether video or film and genre (e.g. documentary, narrative, experimental). If student film, please indicate. Please attach a full resume. Add at bottom the names (only) of your editor, director of photography, and producer, if different from the filmmaker.
 
 
 



 
 
 
 
 
 
 
 
 
 
 
 
 

Full Professional Budget $______________ 'Bare Bones' budget $_______________

(Please attach a detailed budget breakdown)

Amount requested from Pioneer Fund: $____________________

How will the Pioneer Fund grant be spent?:
 
 
 
 

How much money has been raised to date? _____________________________

How much money has been spent to date? _____________________________

How much money is needed to complete the project? ____________________

If you have not yet begun production, how much money must you have in hand before doing so? ______________________________

Other funding sources for this project: Amounts Sought Amounts Received

________________________________ $_________________ $_______________

________________________________ $_________________ $_______________

________________________________ $_________________ $_______________

Suggested references to contact regarding this project, qualifications of its key staff and capabilities of your organization:
Name Position, Title (occupation), Agency Phone

__________________________ _____________________________ __________

__________________________ _____________________________ __________

Please attach any formal proposal, film prospectus, or other supporting material to this sheet.
Before submitting this proposal, please make sure that you have included:
(1) A letter of sponsorship (avoiding the term "fiscal agent")
(2) A detailed budget for the entire project
(3) A full resume (or filmography or videography). Specify your precise roles in each film/video project, and the date and length (in minutes) of each production. Also include where the project will be exhibited or distrubuted.Your resume should show your full employment history, with dates.