APPLICATION FORM

Please read our submission guidelines

 Project Title________________________________________________ Estimated complete running time _____:_____ Work-in-progress tape length ______:_______ CATEGORY (Check One) _____ Feature _____ Short _____ Documentary _____ Experimental _____ Animation PRODUCTION FORMAT (Check all that apply) _____ 16mm _____ 35mm _____ Super8 _____ Video FINAL EXHIBITION FORMAT (Check One) _____ 16mm _____ 35mm _____ Video Director's Name________________________________________________ Producer's Name________________________________________________ Production Company ____________________________________________ Address________________________________________________________ City/State/Zip ________________________________________________ Telephone_____________________ Fax____________________________ Email_________________________ Web site_______________________ Estimated Total Budget of Project______________________________ Amount Needed For Completion___________________________________ BE SURE TO INCLUDE _____ Project Description and Statement Of Intent _____ Bios/Resumes Of All Principal Cast & Crew _____ Work-in-progress Cassette _____ $15 Processing Fee (US Funds Only) 

I have read, understand and accept the complete guidelines and regulations. If selected I agree to acknowledge the Chicago Underground Film Fund as a funding source on screen and in publicity materials and to provide CUFF with a film or tape for a Chicago area premiere screening.

 SIGNED___________________________________ DATE_______________