MINITREATY CANADAFRANCE FRENCHLANGUAGE TELEVISION DEVELOPMENT – APPLICATION

Applicants should be familiar with the Theatrical Documentary Pilot Partnership and Canada Feature Film Fund (CFFF) guidelines and the applicable Telefilm Canada business policies prior to completing this application form

Mini-Treaty Canada-France / French-language television / Development – Application Form Page 7 of 7

Applicants should be familiar with the Mini-Treaty Television Development – Agreement between the Government of Canada and the Government of the Republic of France Regarding the Development of French Language Audiovisual Co-Production Projects for Television (the “Mini-Treaty Television Development Agreement”), the Financial Selective Assistance for Canada-France Coproductions Information Document (the “Mini-Treaty Information Document”) and the applicable Telefilm Canada business policies prior to completing this application form. Please complete all information requested and include all relevant documentation with your application. Please note that this application form must be signed by all applicants prior to submission to Telefilm Canada.

Title:
Previous Title(s):
ISAN Number (if applicable; 26 digits):

A. APPLICANT INFORMATION

Name of Canadian Production Company(ies) (Applicant):			Name of Foreign Production Company 1:

Address			Address
City		Province	City		Province
Country	Canada	Postal code	Country	France	Postal code
Tel		Fax	Tel		Fax
Email address (for official notifications)			Email address
Web address			Web address
Contact Name for this file (Name & Title):

Name of Parent Company (if applicable):			Name of Foreign Production Company 2:

Address			Address
City		Province	City		Province
Country	Canada	Postal code	Country	France	Postal code
Tel		Fax	Tel		Fax
Email address (for official notifications)			Email address
Web address			Web address

Are you sure that your Co-Producer(s) submitted an application to the competent authority? Yes No

B. PROJECT HISTORY

Has this project ever been submitted to Telefilm Canada or the CMF/CTF?		Yes No
If it received funding, please provide the following information:
Application Number	At what stage?
Amount	Date of contract

C. PROJECT INFORMATION

Synopsis (100 words or less):

Number of episodes	episodes	Duration	minutes / episode
Production type	Live action	Language	French
Category	Drama Children’s Documentary
Format	Pilot One-off Mini-Series Series MOW

If the screenplay is based on an original work:

Title of original work		Medium (book, play, etc.)		Author		Citizenship of Author

D. CULTURAL CONTENT INFORMATION (check only one)

Cultural content refers to content only; NOT to production personnel. This information is gathered for statistical purposes only.
Aboriginal (PRIMARILY about aboriginal characters or issues)	Multicultural (PRIMARILY about visible minority characters or issues OR characters or issues based on first generation immigrants to Canada from Eastern Europe or Latin America)	General (all other projects)

E. SCHEDULE INFORMATION

Projected completion date for this development request
Estimated shooting start date
	Y	M	D

H. BUDGET INFORMATION

Date of budget (Y-M-D)
EXPENDITURES per Producer per country	Country of expenditure			Other Countries*	Total (per Producer)
EXPENDITURES per Producer per country	In Canada	In Foreign Country 1	In Foreign Country 2	Other Countries*	Total (per Producer)
Canadian Producer(s)	$	$	$	$	$
Foreign Coproducer 1	$	$	$	$	$
Foreign Coproducer 2	$	$	$	$	$
Total (per country)	$	$	$	$	$

*If the breakdown includes expenses under Other Countries (non-coproducing countries), complete the following table:

Nature of expense	Amount	Reason spend necessary outside coproducing countries	Country of expenditure	Producer covering cost
	$
	$
	$
	$

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Tags: application form, this application, canadafrance, development, application, frenchlanguage, television, minitreaty

Project Participants	Last Name	First Name	Citizenship	Confirmed
Canadian Producer
Foreign Producer 1
Foreign Producer 2
Executive Producer


Scriptwriter(s)



Story Editor / Consultant

Project Participants	Last Name	First Name	Citizenship	Confirmed
Researcher


Director

Are there any third country participants involved in the project?			Yes (complete table below) No
Function	Last Name	First Name	Citizenship	Reason

Category of Financing	Legal Name of Company or Organization	Type of Financing	Amount	% of Total	Confirmed
Telefilm Canada – Mini-Treaty		Advance	$	%	-
Canada Media Fund – TV Development		Advance	$	%	-
Production Company			$	%
Broadcast Company			$	%
Other			$	%
Other			$	%
Total Canadian Financing			$	%
CNC – Mini-Treaty		Advance	$
CNC – Others		Advance	$
Foreign Prod. Co. 1			$
Foreign Prod. Co. 2			$
Broadcast Company			$
Other			$
Other			$
Total Foreign Financing			$	%
TOTAL FINANCING			$	100.0 %

Enclosed	N/A	At the time of application, together with this completed application form, the applicant must provide all of the documentation listed below. Please be advised that during the review of the project, the applicant may be required to provide additional documentation or information. Telefilm Canada reserves the right to request any document or information it deems relevant, including, but not limited to, any document or information pertinent to the eligibility of the applicant and the project. Please be advised that Telefilm Canada will not act as a depositary or be responsible in any way for the holding or return of any material submitted at any time in connection with the application or the project and such material may be destroyed at any time.
		1.	Corporate Documentation (only if modified since company’s last application to Telefilm)	Incorporation documents for the applicant production company and parent company(ies), if applicable Corporate financial statements for the past three (3) fiscal years¹ Shareholder or partner’s agreement (as applicable) Declaration of Canadian Status of Corporation and Corporate Information (available on Telefilm website)
		2.	Most recent creative material	e.g. script, bible
		3.	Proof of citizenship of Canadian producers, executive producers, key creative personnel	Proof of citizenship or permanent residency for (1) all Canadian producers and executive producers; and (2) all Canadian key creative personnel. Admissible proof of citizenship: legible photocopy of passport, birth certificate, citizenship certificate, or CAVCO personnel number. Admissible proof of permanent residency: valid permanent resident card for the duration of the production.
		4.	Notarized affidavit(s) for Canadian producer(s) and writer(s)	Available on Telefilm website (“coproduction”)
		5.	Co-development agreement	Duly executed
		6.	Chain of Title	Contracts establishing full chain of title for the property, in particular, origin of concept
		7.	Development budget	Detailed budget (in CA$), dated, in multi-column format showing each country’s participation in a separate column and a consolidated column.
		8.	Financial structure	Itemized financial structure (in CA$) for the Canadian and French producer indicating sources of financing
		9.	Broadcast agreement(s)	Canada and/or France broadcast agreement(s) or letter(s) of commitment or letter(s) of interest

Signature of Applicant (Canadian Producer):

I am duly authorized

Name (please print)

Title

Date (Y-M-D)