1. PROJECT INFORMATION
a)Title of Film/Video:
*
b) Title in English:
c) Country of Origin:
*
d) Running Time:
*
Use format: hh:mm:ss
e) Year Completed:
*
f) Colour / Black & White:
Choose only ne
Colour
B/W
*
g) imagineNATIVE's mandate is to program works written,
directed, and/or produced by Indigenous artists (as defined in
eligibility). Therefore, it is essential that the key Indigenous
person/s associated with the work be clearly stated in one of the
following roles:
Role:
Select one...
Director
Producer
Writer
Other
*
If other, please explain:
h) Is the Indigenous key creative an emerging filmmaker?
Emerging Artist
NOTE: imagineNATIVE considers an emerging filmmaker as someone who has less than three years of practice and has completed or is
finishing at least one independent film or video work that has been/will be presented in a professional context, regardless of age. All emerging
filmmakers are considered for the Best Emerging Filmmaker Award in addition to their film category award.
i) Is the Indigenous key creative under 25?
Youth Artist
NOTE: All youth under age 25 are automatically eligible for the Ellen Monague Award for Best Youth Work in addition to their film category
award.
j) Please choose ONLY ONE genre category for your work:
Select one...
Documentary (50+ mins)
Short Documentary (less
than 50 mins)
Dramatic Feature
(50+ mins)
Short Drama
Experimental
Music Video
*
k) Do you want your work to be considered for competition (Festival awards)?
Select one...
Yes
No
*
l) Please check the premiere status of your work:
Worldwide
International
North America
Canada
Ontario
Toronto
None
m) Previous Festival Screenings:
n) If this work has been submitted to other upcoming festivals,
please list them below:
o) Awards won:
p) Has/will this work been
broadcast?
Select one...
Yes
No
Not sure yet
*
If yes, where & when?
q) Will this work be made available for public viewing on the Internet or on any mobile device before October 17, 2012?
Select one...
Yes
No
*
If yes, please indicate URL or service (ie. Domain name or iTunes)
r) If you have sold any rights for your film, please indicate type, country (territory) and the broadcaster and/or distributor of the work:
Select one...
Yes
No
*
Type:
Country (Territory):
Broadcaster/Distributor:
2. FILM/VIDEO FORMAT
a) Submission Format:
Select one...
2 x DVD (PAL)
2 x DVD (NTSC)
*
(DVD preview copies are preferred for preview)
Is this a rough cut, fine cut (locked picture), or final version of the film?
Select one...
final
fine
rough
*
If not final, what is left to do on the film (fine cut, sound mix, colour correct, titles, etc.)?:
If not final, completion date
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2012
2013
2014
2015
2016
2017
Do you have a private, online link to the film for viewing consideration (i.e. Vimeo, YouTube)? If yes, please provide:
Domain/URL:
Password:
b) Exhibition Format (for festival screening) *
If selected, exhibition copies must be sent
in by September 12, 2012.
DVDs are not an acceptable exhibition format.
Format:
Select one...
16mm
35mm
Ratio:
Select one...
1:1.33
1:1.66
1:1.85
1:2.35
# of reels
c) Sound:
Select one...
Mono
Stereo
Dolby
Silent
*
d) Original Format(s):
(List original format(s) shot on)
e) Original Language(s):
*
(if not English, must have English subtitles)
f) If not in English, this work is:
Select one...
Subtitled in English
Dubbed in English
3. SYNOPSIS
a) Short synopsis (one sentence):
*
b) Long synopsis (two paragraphs):
*
4. PUBLICITY DETAILS
a) Trailer included with submission on a separate disc as .mov or .mp4
file
Select one...
yes
no
*
If no, Trailer URL (linking to .mov or .mp4 file)
http://
Main Publicity Contact
b) First Name:
*
Last Name:
*
Title and/or Role:
*
Direct Phone (landline):
+
(
)
-
ext.
*
Direct Mobile Phone:
+
(
)
-
*
Email:
*
c) Languages spoken by all creative people (for media purposes)
*
6. DIRECTOR CONTACT INFORMATION
First Name:
*
Last Name:
*
Is the Director Indigenous?
Select one...
Yes
No
*
(see eligibility for more information )
Indigenous Affiliation (Nation and Tribe)
Company
Address Type:
Select one...
Business
Home
*
Suite/Unit/Apartment:
Street Line 1:
*
Street Line 2:
City:
*
Province/State:
*
Postal/Zip Code:
*
Country:
*
Phone 1
Select one...
Work
Home
Mobile
*
+
(
)
-
ext.
*
Phone 2
Select one...
Work
Home
Mobile
+
(
)
-
ext.
Fax
+
(
)
-
Email:
*
(please note that email will be the main form of communication)
Website:
http://
Director Biography (maximum
one paragraph):
*
Titles of Director's Previous
Work:
7. PRODUCER CONTACT INFORMATION
First Name:
*
Last Name:
*
Is the Producer Indigenous?
Select one...
Yes
No
*
(see eligibility for more information )
Indigenous Affiliation (Nation and Tribe)
Company
Suite/Unit/Apartment:
Street Line 1:
*
Street Line 2:
City:
*
Province/State:
*
Postal/Zip Code:
*
Country:
*
Phone 1
Select one...
Work
Home
Mobile
+
(
)
-
ext.
Phone 2
Select one...
Work
Home
Mobile
+
(
)
-
ext.
Fax
+
(
)
-
Email:
Website:
http://
Producer Biography (maximum
one paragraph):
*
Titles of Producer's Previous
Work:
8. DISTRIBUTOR CONTACT INFORMATION
Please list the person/company to contact to obtain a copy of the film for exhibition, if selected for the festival.
The information provided
below will be published in the Print Source section of the festival catalogue. Please provide the contact information how you would like it
to appear. If there is no distributor, please list the producer or director.
I agree to having all information below printed in imagineNATIVE's public festival catalogue and website. *
First Name:
*
Last Name:
*
Company
Suite/Unit/Apartment:
Street Line 1:
*
Street Line 2:
City:
*
Province/State:
*
Postal/Zip Code:
*
Country:
*
Phone 1
Select one...
Work
Home
Mobile
*
+
(
)
-
ext.
*
Phone 2
Select one...
Work
Home
Mobile
+
(
)
-
ext.
Fax
+
(
)
-
Email:
*
Website:
http://
OTHER CONTACT INFORMATION
First Name:
*
Last Name:
*
Is the other Indigenous?
Select one...
Yes
No
*
(see eligibility for more information )
Indigenous Affiliation (Nation and Tribe)
Company
Address Type:
Select one...
Business
Home
*
Suite/Unit/Apartment:
Street Line 1:
*
Street Line 2:
City:
*
Province/State:
*
Postal/Zip Code:
*
Country:
*
Phone 1
Select one...
Work
Home
Mobile
*
+
(
)
-
ext.
*
Phone 2
Select one...
Work
Home
Mobile
+
(
)
-
ext.
Fax
+
(
)
-
Email:
*
(please note that email will be the main form of communication)
Website:
http://
Biography (maximum
one paragraph):
*
Titles of Previous
Work:
ATTACHMENTS
Digital images must be a minimum of 300dpi and can be sent as TIFF or JPG files on CD, emailed to programming@imagineNATIVE.org or uploaded here:
Please attach two stills from the entry. Please name the files as: "TitleofWork2012_1" and "TitleofWork2012_2":
Please attach one headshot of the Indigenous key creative of this work. Please name the file as "TitleofWork2012_headshot":
8. Mediatheque
The festival provides
a Mediatheque venue (with a complete video library) for distributors, buyers,
and programmers. After the festival, works
will be accessible for viewing by programmers,
buyers and distributors upon request.
Would you give permission for your
work to be included in the imagineNATIVE Mediatheque,
whether selected for the festival or not?
Select one..
Yes
No
*
*
I have read and accept the rules, regulations and guidelines for
participation in the imagineNATIVE Film + Media Arts Film
Festival (the “Festival”). I am legally authorized and have granted
authorization to submit this film from all stakeholders,
commissioners and co-producers involved to enter this work in
the Festival. If selected for the Festival as an Official Selection, I
acknowledge and agree that I MUST submit an exhibition quality
print and/or tape in 35mm, HDCAM, HDCAM SR, Digital Beta,
Beta SP, HDV, MiniDV, DVCAM or .MOV (Apple Pro Res Codec)
format that must be made available by me for delivery to the
Festival by Sept 12, 2012 for screening during the 2012 Festival
(that is, Oct 17 – 21, 2012). I agree that the cost of shipping
exhibition copies to the Festival will be covered by the Artist or
Distributor and the cost of returning the exhibition copies will be
covered by imagineNATIVE.
I further grant imagineNATIVE the right to use clips (up to one
minute) and stills from the film for the Festival Catalogue,
promotional, archival, and other non-commercial uses, website
and other terrestrial, online and digital media promotional outlets
for promotional/reportage purposes. Print Source contact
information for all submitted films, regardless of whether or not
they are selected to screen during the 2012 Festival, WILL be
published in the 2012 Festival Mediatheque Catalogue (nonpublic),
if permitted by authorized signatory above, which will be
made available to all registered 2012 Festival Industry delegates.
Distributor/Print Source contact information (see Section 9) for all
films selected for screening at the 2012 Festival WILL be
published in the 2012 Festival Program Guide and on the 2012
Festival website. I grant permission of duplication of the final
version of submitted work for the Festival jury and publicity
purposes. imagineNATIVE Film + Media Arts Festival will not sell
your personal information to any other organization or person.
9. Authorization/Main Contact Information
*
With my signature below, I hereby certify that
I have the legal authority to submit this work
to the imagineNATIVE Film + Media Arts Festival
and grant permission to imagineNATIVE to include
this work in the festival.
Signed by:
*
Position:
*
Phone (main)
Select one...
Work
Home
Mobile
+
(
)
-
ext.
*
Phone 2
Select one...
Work
Home
Mobile
+
(
)
-
Email:
*
Date - mm/dd/yyyy:
*
Verfication code:
*