Minuteman Media Network Request

2. Please fill out this Programming Request form if you have something you would like to see filmed by MMN, would like to film with MMN, or would like to submit a program to be shown on MMN. Questions can be sent to mmnetwork@concordma.gov. **Please provide at minimum 2 weeks notice of events. Requests sent within 1 week of event will be filled based on availability. **

   Please fill out this Programming Request form if you have something you would like to see filmed by MMN, would like to film with MMN, or would like to submit a program to be shown on MMN. Questions can be sent to mmnetwork@concordma.gov. **Please provide at minimum 2 weeks notice of events. Requests sent within 1 week of event will be filled based on availability. **

4. Proposed Program*

6. Name / Producer Name*

8. Phone Number*

9. Address

11. Email*

13. Program / Project Description*

    Please describe what the program is that you would like to have filmed or would like to create.

15. What do you intend to accomplish with your program?

17. Date and time of program*
    Date and time of program

    Date and time of program

18. Who is your intended audience?

20. How long do you expect your completed program to be?*

    1. Less than 10 Minutes
    2. Between 10-20 Minutes
    3. Between 30-60 Minutes
    4. Between 60-120 Minutes
    5. More than 120 Minutes

21. How will your production be done?*

    1. Live
    2. Studio Shoot
    3. Pre-Taped and Provided
    4. On-Location

23. Planned Series?*

    1. Yes
    2. No

24. Single Program?*

    1. Yes
    2. No

26. If a planned series, how often do you expect to create a show?

27. Program Type

    1. Arts
    2. Education
    3. Entertainment
    4. Health
    5. News
    6. Political
    7. PSA (Public Service Announcement)
    8. Sports
    9. Other

29. What are you looking for?*

    1. Co-Production with help from MMN staff
    2. MMN to produce and create program
    3. MMN to schedule and play my already finished show only
    4. Equipment or support

30. If you are requesting Equipment or Support, what are you looking for?

Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field