New Program Request

    General Information



    Phone Number

    Your Age*


    What part of the world are you broadcasting from?

    Professional/Work Background



    Are you willing to volunteer in any capacity? Explain

    Name of Program

    Length of Program

    Describe Your Program

    Website URL

    Program's major purpose/mission

    List Host Names


    Is the program currently in production? Date Started?

    How many episodes?

    Do you broadcast copyrighted material?

    What is the Program schedule and local time of Broadcast?

    What platforms are you currently on?

    Are you monetized?

    Have you ever been de-platformed or Censored? Explain

    Who Produces Your Program? ie. Amateur, Self, Professional, Pre-Recorded, Live Broadcast, Studio, Home, Other Location

    Do you have a team to help you produce the show?

    Do you have any sponsors?

    What Products or Services do you promote?

    Do you have media consultants? If Yes, List