Application

Project Title

Applicant (Project Director):*

Applicant's primary role on this project:

Email

Provide a primary email to receive communication about your application here. Must be an address you check regularly.

Address

Phone Number

Logline - Provide a 1 to 2 sentence descriptive summary of the overall story you plan to tell.

The logline should capture the essence of the documentary with the intention of making the reader want to read and see more.

Total Project Budget

in US Dollars (example - $300,000)

Amount of funding to date

in US dollars (example - $25,000)

List funding sources and amounts provided to date.

Use separate line for each source and separate the source name and amount with a comma (example - Pacific Pioneer Fund, $3,000)  

Current Stage of Production

I. Proposal - upload your proposal in pdf format.

A detailed description of the required proposal elements can be found at www.documentary.org/sponsorship/apply

II. Budget - upload your budget in pdf format

A detailed description of the required budget elements can be found at www.documentary.org/parelorentz/apply

III. Letters of Support or Supplemental Material. (optional)

IV. Sample Work - provide the URL to view your sample work.

A sample work is not required. For more details visit www.documentary.org/sponsorship/apply

Sample work password (optional)

If your sample work requires a password to view, provide it here. Vimeo passwords are case sensative.

Statements of Agreement

 Read and select "I agree" below

i. The enclosed application (“Application”) and all of the information submitted in connection therewith to the Partnerships For Change® (PFC®) is accurate;

I agree

iii. PFC® is not responsible for loss or damage to the Materials, or for any misuse by any third party unless done under PFC®'s express direction or authorization;

I agree

iv. I own or control all of the Materials and all right title and interest including copyright of the film or project described in the Application (the “Project”).

I agree

v. The Project and the Material are wholly original with me and do not infringe upon, violate the rights or constitute a libel, slander, or an unfair competition against, or infringe upon or violate the copyright, common law rights, or literary, dramatic, photoplay rights or privacy or publicity, or any other rights of the person, firm, corporation or other entity.

I agree

vi. I have read and understand the guidelines and eligibility requirements at www.partnershipsforchange.com/*** and to the best of my knowledge am eligible to apply to PFC®'s Fiscal Sponsorship Program with the Project described in the Application.

I agree

Please Answer the Following Math Question: 3 + 2 is

Partnerships For Change® Application for Fiscal Sponsorship

Projects

Decarbonized.org

Empowering Social and Spiritual Entrepreneurs

Women's Empowerment and Health Promotion

Lama Tenzin and Himalayan Kids

Accelerating Environmental, Economic and Personal Transformation

Jaipur Foot

Learning Journeys

Catalyzing Media as a Change Agent

MedCycle Network