Program Proposal

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LCTV Program Proposal All producers must complete this form and have it signed by the Cable Operations Manager before taping time is scheduled and confirmed. Any changes in this information must be submitted to and approved by a LCTV staff member. 1. PRODUCER’S NAME: ____________________________________________________________ 2. PROGRAM TITLE: _______________________________________________________________ Studio _____

Remote ______

3. PROGRAM DESCRIPTION (be as specific as possible): _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 4. Name of Program Host: ___________________________________________________________ 5. Program Length: _________________________________ 6. Is this program part of a series?

Yes

No

If yes, how often will you produce a program? ______________________________________________ 7. Requested airtime: ___________________________________________________________________

Producer’s Name (Parent or Guardian if under 18): ____________________________________________ Address: ______________________________________________________________________________ Phone Number: ________________________________________________________________________ Signature (Parent or Guardian if under 18): ___________________________________________________

LCTV Manager Signature: __________________________________________ Date: _______________________