SHORT FILM PRODUCTION PROGRAM APPLICATON - PLEASE PRINT Applicant/s, _________________________________________________________ / _________________________________________________________________________ / _________________________________________________ (Hand write name/s), hereby applies as a Writer________, Director _____________ or Writer/Director_____________ combo (initial one of the aforementioned categories) to the Professional Organization of Women in Entertainment Reaching Up (“POWER UP”) short Film Production Program. As such, Applicant/s hereby agrees to all POWER UP’s rules and regulations whether oral, written or otherwise. Applicant/s Initials:_________/__________. Applicant/s hereby agree that if Applicant/s is selected Applicant/s must be able to be available for all stages of the film production process, as determined by POWER UP, and that any films will be produced by the POWER UP Executive Directors and shot on location in Los Angeles, CA, USA, at a time to be determined by POWER UP. Applicant/s Initials:_________/__________. Applicant hereby acknowledges and agrees that all rights to any screenplay selected will be assigned to POWER UP via another contract and any film made through the POWER UP Film Production Program with be the sole property of POWER UP. Applicant/s Initials:_________/__________. Applicant/s hereby agrees to enter in to a full length contract with POWER UP as a condition precedent to being selected. Applicant/s Initials:_________/__________. Applicant/s hereby understands and agrees to following terms, rules and regulations: 1) All entries must be post-marked by January 2, 2007 in order to be eligible. 2) Screenplays from any genre, style, topic or perspective will be considered and judged on its merits regarding the quality of the material along with interviews and re-writes with/by the Applicant/s. Screenplays need not be women or gay themed. 3) Director Applicants must submit a reel (VHS or DVD) or, in the absence of a reel, an essay, no more than three pages, explaining how and why the director Applicant is qualified to direct a POWER UP short film. 4) The rights of all Screenplays submitted must be owned by the Applicant/s in their entirety and be free and clear of any third party interests or encumbrances. Any Screenplay submitted must be able to be assigned, in its entirety, to POWER UP in the event that it is selected. The persons and or persons submitting the screenplay must be the author/s of the screenplay and own all its rights in their entirely. (ie: all screenplays may not have been previously sold, or produced, licensed, optioned or otherwise had any rights transferred to a third party.) Applicant/s Initials:_________/__________. 5) Screenplays must be in standard screenplay format, three-hole punched, typed, bound, with cardboard covers and brads and should not exceed 15 pages. The title page should have the title on it and NOT YOUR contact information. 6) Multiple entries require separate application forms and materials. 7) Winning recipient(s) may be notified of their selection by e-mail, phone or on the web-site. Applicant/s hereby understands and agrees that submission does not guarantee that Applicant/s will be selected. POWER UP retains sole discretion regarding acceptance issues, terms and regulations, including whether or not any Applicant is chosen and a film made. Applicant/s Initials:_________/__________. 8) Screenplays must be the original work of Applicant/s. Any derivative work - if the screenplayis based upon another work in any medium - must be submitted with proper legal documentation proving that those submitting the screenplay also own the underlying rights or the derivative rights in their entirety. If the screenplay is another person's life story, whether loosely or strictly based, Applicant/s must provide a signed statement to that effect by Applicant/s and supporting legal documentation verifying that Applicant/s has the right to make such an adaptation. Applicant/s Initials:_________/__________. 9) Applicant/s hereby agrees that, if selected, Applicant/s will be engaged as a “work for hire” and, as such, all rights including, but not limited to, those in/to the selected screenplay and subsequent film will be the sole property of POWER UP. If chosen, Applicant hereby agrees to enter into a Writer’s Agreement and/or a Director’s Agreement, as applicable, assigning all rights and title to POWER UP and, as such, Applicant will have no claim to ownership in the screenplay or subsequent film. Said Writer’s Agreement and/or Director’s Agreement will further delineate the terms of engagement, assignment and execution of the rights and obligations between and of Applicant/s and POWER UP, including POWER UP maintaining all final creative approval and the right to terminate the writer and/or director at any time without notification or cause. Applicant/s Initials:_________/__________. 10) Each Applicant must be POWER UP professional, silver or gold members at the time of entry and in good standing through June 2007. Any Membership fees, donations and/or expenses incurred by Applicant/s are non-refundable and, as such, POWER UP shall not be obligated in any manner to provide reimbursement to any Applicant, accepted or otherwise, once Applicant has submitted materials. Please note that your membership is tax deductible. Applicant/s Initials:_________/__________. 11) Application materials must be mailed or delivered to: POWER UP 419 N. Larchmont Boulevard, #283 Los Angeles, CA 90004 USA Materials will not be returned--Do not send originals. For your own protection, we advise registering your material with the WGA and/or copyrighting any material you submit.,br. Applicant/s Initials:_________/__________. APPLICATION FORM Name_______________________________________________________________ Address ____________________________________________________________ City, State, Zip ______________________________________________________ Home Phone ________________________________________________________ Work Phone _________________________________________________________ E-Mail ______________________________________________________________ Fax ________________________________________________________________ POWER UP membership level Professional Silver Gold ___________________ Current Occupation (day job) ___________________________________________ Application Category (Circle One): Separate applications must be submitted for multiple entries and/or categories): 1) Director – To direct the winning script - $35 processing fee 2) Writer - To have your script produced - $35 processing fee 3) Writer/Director - To direct your screenplay ONLY. Please note that when applying under this category you will not be considered to Direct any script other than the one herein submitted. - $50 processing fee Material Submitted: Essay, Reel, Screenplay ____________________________ Title of Screenplay:____________________________________________________ Length of Screenplay: _________________________________________________ Genre:_______________________________________________________________ Log Line:_____________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Included: ___ Essay (3 pages) ___ Reel (1 VHS or DVD) ___ Screenplay (3 copies) ___ Biography ___ Resume ___ Application, signed and dated (All pages) PRINT THIS ___ Tax deducible membership fee (if necessary) ___ Processing fee $35 or $50 per entry DEADLINE: Postmarked by January 2, 2007 419 N. Larchmont Blvd., #283 Los Angeles, CA 90004 323 463-3154 www.power-up.net joinPOWERup@aol.com Applicant/s hereby understands and agrees to all the terms, conditions, rules and regulations stated in the Application above. Applicant/s further understand that compliance with the above terms, conditions, rules and regulations and entering into a Writer’s Agreement and/or Director’s Agreement is a condition precedent to selection and production. Signed_______________________________ Print Name __________________________ Dated________________________________