Date: ____________

Proponent(s) name(s): _____________________________________________________

Proponent's address: _____________________________________________________

_____________________________________________________

Proponent's phone no.: ____________________ E-mail address: __________________

Are any other individuals or organizations providing funding for this production? If so, please list the names of the individuals or organizations:

Please submit a resume or other document that includes your education and experience in working on audiovisual productions.

1. What type of production are you proposing (i.e. documentary film, television special, docudrama, reality show, fictional feature film, etc.)?

2. Please describe the production, stating the story/project objectives.

3. Approximately how long will the production that you are proposing be when it is completed (for series, please indicate the number of episodes as well)?

4. What is the story line you are seeking to develop and from whose point of view will it be told?

5. Where will this production be aired (i.e. name of network or distributor)? Please submit with this initial screening worksheet a letter of commitment, support, or interest from the network or distributor that includes a contact name, telephone number, and email address.

6. When will this production be aired?

7. What informational value does the production that you are proposing provide?

8. How will the production that you are proposing assist in the public’s understanding of the U.S. Forest Service?

U.S. Forest Service Fire and Aviation ManagementNongovernmental Audiovisual Production

Initial Screening Worksheet

9. What benefit(s) to the federal government and the public would be realized from this project?

10. How much time do you estimate will be required for filming this project?

11. Do you seek to interview U.S. Forest Service employees/firefighters? If so, how many employees/firefighters and what types (i.e. fire managers, incident commanders, hotshot crew members, smokejumpers, etc.)

12. If you seek to interview U.S. Forest Service employees/firefighters, would interviews be conducted at pre-determined times and locations, spontaneously, or both? Would the locations be on or off the fireline or both?

13. Do you seek to embed your employees with ground firefighting or fire aviation crews? If so, how long would that last?

14. Are you interested in portraying U.S. Forest Service employees/firefighters only in work situations or during their off time as well?

15. Will all film/video be shot from the ground, or will aerial photography be required?

16. Will you seek permission to visit an active wildland fire for this project? Note: access to any given incident may be limited or prohibited depending on safety factors, the incident commander, jurisdiction, or other factors.

17. How many production personnel will be involved in the filming of this project?

18. What is the physical fitness level of the production personnel who will be involved in filming/videotaping?

19. What is the weight and bulk of the equipment you will need to carry with you for filming/videotaping (i.e. estimated pounds and cubic feet)?

20. Have you contacted any other federal government agencies or bureaus regarding this project proposal? If so, please provide the name of the agency and its contact representative.

21. Please provide any additional information you feel is pertinent to our decision whether or not

to approve this project proposal.

22. Please provide the names, phone numbers, and email addresses of three references and send samples of your previous work as soon as possible to Jennifer Jones, U.S. Forest Service, National Interagency Fire Center, 3833 S. Development Avenue, Boise, Idaho, 83705.

23. The Forest Service Manual (1654.1) requires proponents to indicate, by initialing the following statements and signing and dating this worksheet, that they understand that if this production is approved:

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_______The production company will be responsible for reimbursing the U.S. Forest Service for any additional expenses incurred as a result of assisting the production, for example, returning the land to its pre-production condition.

______The production company must comply with established U.S. Forest Service safety standards.

_______The production company certifies that U.S. Forest Service materials and personnel services to be used in the production are not available through commercial or private enterprises.

_______The production company agrees to restore all Government property and facilities to their original or better condition comparable with when they were made available.

_____________________________________ _____________________________Name Date

_____________________________________ _____________________________Title Company

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U.S. Forest Service use only

Received by:_________________________________

Name: _____________________________________

Title:

Phone:

Email: