G
6.
What is the target audience of your program (Age group/nationality)?
______________________________________________________________
7.
What language or languages is your show produced in? __________________________________
7a.
Is the program subtitled in English?
Yes
No
8.
Does your program use video footage and/or music produced by a cable/television network or another production
company?
Yes
No
If yes, are rights available for inspection?
Yes
No
(Please attach a copy of all rights for music and/or video footage with this application)
9.
Does this series/program/filler contain language or visual material, which might be considered sensitive,
objectionable, or adult in nature?
Yes
No
Signature
I, ____________________________________________________________ (print name) have read the above proposal application. My answers are true and accurate
to the best of my knowledge. I understand that this form is only an application and is not a contract. I realize I alone will be
held accountable for my program content and technical quality. I agree that my submission is not confidential and that MHz
NETWORKS may discuss my ideas, proposals, and program recordings with its employees, consultants, and management to
evaluate its possible fit on MHz NETWORKS. I agree that MHz NETWORKS may be already exploring programs and ideas
similar to mine and therefore I waive any claim or future claim that MHz NETWORKS may have taken my idea or portions of it.
Applicant: ______________________________
Date: ______________________________
Please provide all information requested on this form. Also, please be sure to attach a copy of your program outline and any
broadcast rights for video or audio material to this application.
The Presenter should keep a copy of the application and send the original, as well as a copy of the program (if available)
and to: MHz NETWORKS, Independent Programs, 8101 A Lee Highway, Falls Church, VA 22042. Additional forms are available
at the same address. You can contact the MHz NETWORKS Independent Programming Department at (703) 770-7100 if you
have any questions regarding the form.
** Please note that tapes sent to MHz NETWORKS will not be returned. Do not send master tapes.
