Applicant Information (Note: The name of the applicant must match the name of the bank account to which the funds will be deposited)

First Name:

Last Name:

Name of Production Company (if applicable):

Email:

Phone:

Address:

City/Town:

Province or Territory:
---AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code:

The Rogers-BSO Development Program is open to Black and People of Colour who are Canadian citizens or have Permanent Resident status in Canada only. The lead writer and producer of the project must be BPOC creators.

Do you hereby confirm you meet these requirements?
YesNo

The lead writer must have a writing credit on at least one of the following:

• An episode of a TV show that has been broadcast,
• A feature or short film that has been released theatrically or premiered at an international film festival, or 
• A full-length produced play.

Title of previous work:

Credit on previous work:

Date of Broadcast, Premiere or Release:

For TV shows - Name of Broadcaster or Network:

For Shorts/features - Name of International Film Festival where it premiered:

For Plays - Name of Theatre or Festival where it was shown:

Please select the Identity Group of the Lead Writer:
BlackPerson of Colour

If 'Person of Colour' is selected, please specify:
---Black (people who trace their roots to Sub-Saharan Africa including those with origins in the United States, Caribbean and Latin America)Latin American (Latino, Latina, Latinx)Middle-Eastern and North AfricanSouth AsianSoutheast AsianEast AsianMultiracial (a combination of any of the above categories or any of the above categories with White or European ancestry)

If applicable, please select the Identity Group of the Lead Producer:
BlackPerson of Colour

If 'Person of Colour' is selected, please specify:
---Black (people who trace their roots to Sub-Saharan Africa including those with origins in the United States, Caribbean and Latin America)Latin American (Latino, Latina, Latinx)Middle-Eastern and North AfricanSouth AsianSoutheast AsianEast AsianMultiracial (a combination of any of the above categories or any of the above categories with White or European ancestry)

Title of project:

I am the owner of the intellectual property of the proposed work.
YesNo

Which type of project are you submitting? (Only one option may be selected.)
SeriesOne off

Is your project scripted or unscripted? (Only one option may be selected.)
ScriptedUnscripted

Attestation Form

Applicant Questionnaire

Pitch Treatment

Writing Sample

Incorporation Documents (if applicable)