Program Proposal Form

Milton Access TV Program Proposal

Today’s Date: Your email:

Full Name:

Address:

Contact Phone Number:

Organization (if applicable):

Program Title:

Program Description:

Intended Audience:

Projected Program Length (30min, 1hr, 1.5hr, etc.):

Will program be in studio, on-location or virtual?:

Will program be live, taped, live-to-tape, or bicycled?:

Program Format (News Discussion, Educational, PSA, Entertainment or Special Event):

Have you been certified on this station’s or another station’s equipment?:

Have you received any funding for this project? If so please explain:

Other comments:

Thank you for your submission. MATV will review your form and get back to you soon. Please click the SEND button to submit your proposal

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