Submission Form
Pacific Heartbeat is a national public television series of critically acclaimed documentaries that provides an authentic glimpse into the Pacific Islander experience. The series is produced by Pacific Islanders in Communications (PIC) and premiers a new season each year in the month of May.

We accept submissions year round of completed films or films in the fine cut stage. To submit your film for consideration, please fill out this form completely and a PIC staff member will be in touch with you within a month of receipt.

Note: Pacific Islanders are defined as the descendants of the indigenous peoples of Hawai`i, Guam, American Samoa, the Northern Marianas, and other Pacific Islands of Micronesia, Melanesia, and Polynesia.
FILM INFORMATION
Film Title *
Current Length(s) *
Film - Logline (1 sentence) *
Film - Short Synopsis (1 paragraph) *
Who is the copyright holder of the film? *
PRODUCER INFORMATION (copyright holder)
Producer First Name *
Producer Last Name *
Phone Number *
Email Address *
Street Address *
City *
State *
Zip Code *
Country *
DISTRIBUTION INFORMATION
1. U.S. Television Broadcast Rights *
Are the exclusive U.S. Television Broadcast Rights available for 4 years?
2. U.S. Distribution *
Has your film been or is currently being distributed in the U.S.?
2a. U.S. Distribution Details
If you answered "Yes" to question #2, please list how your film has been distributed (e.g. festivals, free streaming, paid streaming, etc.)
3. International Distribution *
Has your film been or is currently being distributed outside the U.S.?
3a. International Distribution Details
If you answered "Yes" to question #3, please list how your film has been distributed (e.g. festivals, free streaming, paid streaming, etc.) outside the U.S.
RIGHTS CLEARANCE
1. Acquired Material *
Does your film contain acquired material (e.g. music, acquired footage or visual arts)
2. Acquired Materials Clearances
If you answered "Yes" to question #1, for what uses are the materials cleared? Check all that apply.
3. Acquired Materials Not Cleared
If the acquired materials in your film are not cleared for any of the uses in question #2, please specify what material isnʻt cleared.
4. Do you have E&O insurance? *
Required
FUNDER INFORMATION
This information will be kept in strict confidence, PIC will only use this to determine if your film adheres to PBS underwriting and editorial standards and practices. We define “funders” as any public or private entity or private individual who provides a financial contribution to support the making of your film. Funders cannot be anonymous, and they cannot exercise influence over content.
1. Funders of the Film *
Please list ALL the funders of your film with the amounts they provided. If you received donations through crowdfunding, please note that, we may follow up with a request for the complete list of crowdfunding donors.
2. Funder Connection to the Film *
Do any of your funders have a connection to the making of your film (e.g. appearance in the film, viewing cuts, creative direction, etc.).
ADULT CONTENT
Adult content includes language, violence and nudity.
1. Adult Content *
Does your film contain any of the following, please select all that applies.
Required
2. Adult Content Details
If you selected any of the above (except for "None") please provide timecode for each instance and description of the adult content.
FILM SUBMISSION
1. Link to the Film *
PIC is unable to accept DVD submissions. Please provide a link to a third party video sharing or file transfer website (e.g. Vimeo, Dropbox, etc.). Your film must be no more than 1 GB in size, downloadable and password protected.
2. Password *
Certification *
By affixing your name below you certify that all the information you have provided in this form is true and that you have the authority to submit this film for Pacific Heartbeat consideration.
Todayʻs Date *
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How did you hear about Pacific Heartbeat? *
Required
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