Film Request Form | Newsroom Anacostia Community Museum

Applicant's Contact Information

Name:

Please enter your full name.

Company:

Please enter the name of your company.

Address line 1:

Please enter the first line of your address.

Address line 2:

Please enter the second line of your address.

City:

Please enter your city.

State:

Zip:

Please enter your zip code.

Country:

Daytime phone:

Please enter your daytime phone number.

Fax:

Please enter your fax number.

Email address:

Please enter your email address.

The day you intend to begin filming:

The day you intend to finish filming:

Billing Information (if different from above)

Name:

Please enter your full name.

Company:

Please enter the name of your company.

Billing address line 1:

Please enter the first line of your address.

Billing address line 2:

Please enter the second line of your address.

City:

Please enter your city.

State:

Zip:

Please enter your zip code.

Country:

Question Set

1a. Title of program:

Please enter the title of your program.

1b. Description of the program: (Please limit your answer to 1,000 characters.):

The main body text of your entry. Please note that this is limited to 1000 characters or less.

2. What Smithsonian location(s) are you requesting for this project? Please list the location(s) and the person(s) you have contacted.:

Please specify the location(s) you wish to film at.

Note: This form is used for all filming requests at the Smithsonian. Please use it for requests to film at multiple Smithsonian locations and for archival image(s)/footage requests.

3. Have you been in contact with other departments about this project?:

Yes, I have requested archival materials

Yes, I have been conducting research with

Please specify what departments you have been in contact with, if any.

Name of research collaborator:

Name of research collaborator or department(s)

Please note that your responses will not affect consideration of this request.

4. If you wish to film specific objects or specimens at the Smithsonian, please list them.:

Please list the objects or specimens you would like to film.

5. Please list the names of Smithsonian staff members that you wish to interview and/or film. If you do not have specific names, please describe what types of expertise you are looking for.:

Please list the Smithsonian staff you wish to interview.

6. How much time in the museum/unit or with the requested staff do you anticipate will be required? Please include set-up and break down.:

Please describe your time requirements.

7. How many minutes will the completed program run?:

Please describe the runtime of the finished program.

8. How many minutes of the completed program will contain the Smithsonian content covered in this request (buildings, collections, staff, etc.)? : *

Please indicate how many minutes of the program will contain Smithsonian content.

9. What equipment will the crew bring? How many members in the crew? Please include the number and types of lights and total wattage to be used.:

Please describe your crew and equipment requirements.

10. Has an outlet (cable, broadcast or Internet) agreed to the broadcast this program? If the program is slated for foreign distribution, please note which country and whether the program will ever air in the United States. (Please limit your answer to 150 characters or less.) :

Please describe the broadcasting information for this program.

11. What are the proposed uses of this program (i.e., TV broadcast, home video, DVD, CD, webcast, publication)?:

Please describe the proposed uses of this program.

12. Is there funding for this project? Are there program sponsors?:

Please describe the program's funding.

13. Who will own the copyright of the completed work?:

Please describe the program's copyright ownership.

14. What organization(s) or individuals will be receiving the program's gross and net proceeds?:

Please describe the program's proceeds distribution.

15. What other organizations will be involved in the program and what type of credit will they receive?:

Please describe any related organizations that are involved in the project.

16. What is the scheduled air date(s) or issue date?:

Please describe the air date(s) of the program.

17. Will the name of the Smithsonian be used in this production? If so, how? How will the Smithsonian be credited?:

Please describe any usage of the Smithsonian name.

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