Program Proposal Form - Bloomfield Township

Policies & Procedures Release

I have read and understand the Cable Policies & Procedures (above) of Bloomfield Community Television and have received a copy. I agree to comply with the policies and procedures contained therein.

Primary Producer Name*

Street Address*

City*

State*

Zip Code*

Phone*

Email*

Co-Producer Name (if applicable)

Street Address

City

State

Zip Code

Phone

Email

Proposed Project Title*

Program Style*

Video

Podcast

Project Description*

Program Run*

Single program

Limited Series

Ongoing Series

Episode Frequency*

weekly

bi-monthly

monthly

special

Show Format* (check all that apply)

talk show

on location

cooking show

sports

live production

documentary

PSA

promo

other