Application to obtain a broadcasting licence to operate a Campus or Community Radio undertaking (including low-power) - Form 114

Sample form only: do not complete

This form is for reference purposes only. It is not to be completed in this format. To complete this form and submit it to the CRTC, download the MSWord format form here.

General Instructions

Applicants should consult Campus and Community Radio Policy, Broadcasting Regulatory Policy CRTC 2010-499, 22 July 2010 (Broadcasting Regulatory Policy 2010-499), and more specifically paragraphs 12 to 17 to take note of campus and community radio definitions and mandates.

Filing

File electronically via My CRTC Account by attaching the application to the Cover page. My CRTC Account allows you to securely submit documents to the Commission with a user ID and password. Therefore, a signature is not required when using My CRTC Account. Applicants who file their application in this manner are not required to submit a hard copy of the application and its related documents.

Applicants who cannot send their application electronically with My CRTC Account can contact the Commission at 1-877-249-CRTC (2782).

Instructions

The following questionnaire is in HTML format and may be downloaded to the word processing software of your choice. This enables you to complete the downloaded questionnaire by inserting your response in bold letters immediately following the question. You may add lines to the tables if necessary but do not alter or delete any text from the questionnaire.

The application must be divided into sections as set out in the questionnaire and include the numbered questions followed by the corresponding response. Responses must be provided, at a minimum, in a size 10 font.

Naming conventions for electronic documents

The following documents should be submitted as separate electronic documents using the naming convention specified below. The document number (Doc#) indicates the ascending order in which the documents should appear on the public file.

Table 1 - Naming convention for the electronic documents
Document Electronic file name
The Covering Letter (if any) Doc1 - Cover Letter dated ____
The Application Form Doc2 - Form ___ "Application to Obtain a Broadcasting Licence to Operate Community or campus Radio Undertaking (including low-power)"
Appendix 1A Doc3 - Appendix 1A - Supplementary Brief
Appendix 2A Doc4 - Appendix 2A - Constituting documents (or drafts)
Appendix 5A Doc5 - Appendix 5A - Contour Maps
Appendix 5B Doc6 - Appendix 5B - Documentation - Availability of proposed Transmitter Site(s)
Appendix 6A Doc7 - Appendix 6A - Block Program Schedule
Each confidential document Not Web - Doc# - Confidential - "brief description of the document"
Each abridged version of each confidential document Doc# - Abridged version - "same description of document for which confidentiality is requested"

1. General Information

Type of Station:

AM (  ) FM (  ) Check here if low-powerFootnote 1 (  ) Campus (  ) Community (  )

Location of undertaking: ___________________________________

Name of the associated post-secondary educational institution: ________________________________________________

1.1 Identification of applicant

Individual ( ) Company (  ) Company to be incorporated (  ) other (  )

If other, specify:_______________

Name:
Address:
City:
Province/Territory:
Postal code:
Telephone:
Fax:
Email:

Contact person representing the applicant

(If there is no appointed designated representative under question 1.2)

Name:
Title:
Telephone:
Email:

1.2 Appointment of designated representative

I, _________________________, the applicant, hereby designate____________________ as my designated representative for and on my behalf and in my name to sign, file and complete (if necessary) an application with the Canadian Radio-television and Telecommunications Commission and to sign and file a reply with respect thereto and I do hereby ratify, confirm and adopt as my own act, such application and all replies made thereto.

Date:
At: (Example: city, province)
Signature: (a signature is not required when submitting electronically)
Address of designated representative:
Title:
Telephone:
Fax:
Email:

1.3 Declaration of the applicant or its designated representative

I, ___________________________________ , solemnly declare that:

  1. I am the designated representative of the applicant named in this application brief and as such have knowledge of all matters declared therein.

  2. The statements made in this application or in any document filed pursuant to any request for further information by the Commission are (will be) to the best of my knowledge and believed to be true in all respects.

  3. The opinions and estimates given in this application or in any document filed pursuant to any request for further information by the Commission are (will be) based on facts as known to me.

  4. I have examined the provisions of the Broadcasting Act and the broadcasting regulations and policies relevant to this application.

And I have signed

Signature (a signature is not required when submitting electronically)
Date:

Witnessed by

Signature (a signature is not required when submitting electronically)
Name:
Date:
At: (Example: city, province)

1.4 Procedural request

The Canadian Radio-television and Telecommunications Commission Rules of Practice and Procedure (the Rules of Procedure) allow an interested person to request that the Commission exercise a power under the Rules of Procedure or change the Rules of Procedure for a specific proceeding (sections 5 and 7). This is generally called a procedural request. You may consult Implementation of new Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, 23 December 2010, and Guidelines on the CRTC Rules of Practice and Procedure, Broadcasting and Telecom Information Bulletin CRTC 2010-959, 23 December 2010, for more information.

Is the applicant requesting that the Commission make an exception to its Rules of Procedure in the treatment of this application?

Yes (  ) No (  )

If yes, please indicate which section of the Rules of Procedure you wish to vary and provide a detailed rationale as to why this request should be granted:

1.5 Application

The Commission will return the application if it has not been duly completed. The onus will be on the applicant to submit a complete application that provides all of the relevant information, to identify all regulatory issues raised in the application and to provide supporting documentation.

Submit a website address or email address where an electronic copy of the application may be requested:

Website:
Example: www.mycompany.com

Email:
Example: no-reply@no-reply.com

Please describe the exceptional circumstances that lead you to file your application with the Commission despite the postponement of the review of any new radio applications or complaints announced in Change to the processing time for applications and complaints relating to radio undertakings, Broadcasting Information Bulletin CRTC 2023-278, 22 August 2023. Please note that if you do not answer this question, or if the nature of your request is not deemed exceptional, the review of your request may be deferred for a period of approximately two years during which the Commission establishes its regulatory plan to modernize the Canadian broadcasting system. Should the Commission determine that you have demonstrated with supporting evidence that exceptional circumstances justify processing your application, the Commission notes that the processing time may be longer than usual and as a result the Commission’s service objectives may not be met:

2. Ownership

2.1

Complete the following table relating to the directors and officers, including the Chief Executive Officer, of the applicant. Please note that all sections must be completed.

Directors and Officers
Name Complete Home Address Canadian
(x)
Position Held Directors’ date and terms of appointment
Campus: also indicate the group represented (see 2.2)
         
         

2.2 For Campus Radio Stations only

In Broadcasting Regulatory Policy 2010-499, the Commission stated that the mandate for campus radio distinguishes itself from the mandate for community radio in several ways, including the board of directors. The Commission expects that the board of directors for campus stations include campus representatives, including a balanced representation from:

In light of the above, please provide a detailed description of the means used to ensure that the structure and composition of the board of directors comply with the policy, or alternatively, the reasons for which the policy should not apply to your station.

Supporting Document to be Appended:

Appendix 2A

Copy of all constituting document(s) or analogous documents (for example, Letters Patent, Certificate and Articles of Incorporation, By-Laws, Memorandum, Amendments, etc.) of the applicant.

3. Financial Operations

3.1

In accordance with Generally Accepted Accounting Principles (G.A.A.P.), complete the following summary of the estimated annual revenue and expenses for each 12-month period ending 31 August of the proposed licence term:

  Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Total
Revenue (after agency commissions)
($000)
Network Payments                
National Advertising                
Local Advertising                
Fund-raising Activities                
Government funding                
Non-government funding (such as grants and fund-raising campaigns, etc.)                
Other (Specify):                
TOTAL REVENUE                
Operating Expenses
($000)
Programming                
Technical                
Sales, Advertising and Promotion                
Administration and General                
TOTAL OPERATING EXPENSES                
Non-Operating Expenses
($000)
Depreciation                
Interest                
Other Adjustments - Expenses (income)                
TOTAL NON-OPERATING EXPENSES                
TOTAL EXPENSES                
Estimated pre-tax income (loss)                
Provision for Income Taxes                
NET INCOME (LOSS) AFTER TAXES

(for broadcasting operations only)

               

3.2

Provide a projected statement of pre-operating costs for the period prior to the commencement of operation and a pro forma statement of changes in financial position relating to the proposed station for each of the first seven years of operation.

3.3

Provide a detailed listing of all the basic underlying assumptions upon which the financial projections in questions 3.1 and 3.2 above have been prepared, including expected inflation rates and whether the projections have been prepared using current or constant dollars.

3.4 Campus Radio Stations only

Have your advertising revenues been calculated in accordance with the advertising limits set out in paragraph 125 of Broadcasting Regulatory Policy 2010-499?

Yes (  ) No (  )

If no, explain.

___________________________________________________________________________

___________________________________________________________________________

4. Marketing Information

4.1

Please provide audience estimates for the first seven years of operation:

For all persons ages 12+
  Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7
Total Weekly Hours of Listening              
Share of Market Listening Hours (%)              
Reach (000)              

4.2

Provide quantitative estimates of the population within the service contours, as well as an estimate of the population within the area to which the station's principal marketing activities will be directed:

  3 mV/m Contour (FM)

15 mV/m Contour (AM)

0.5 mV/m Contour (FM)

5 mV/m Contour (AM)

Population    
Households    

4.3

Identify the sources from which population data has been obtained.

5. Technical information

Applicants are advised to consult with their broadcast engineering consultants when completing this section to ensure that that the information provided is consistent with the engineering brief (or the application for a broadcasting certificate) submitted to the Department of Industry.

5.1

Note that all required technical documents must be filed with the Department of Industry prior to submitting your application.

  1. Indicate the date of filing: __________________________ (YYYY-MM-DD)

  2. You are required to provide a copy of the transmittal communication or courier pick-up receipt of the technical documents filed with the Department of Industry as Appendix 4A.

  3. I hereby authorize the Commission to include as part of this application any document or correspondence filed with the Department of Industry with respect to this application.

    Yes (  ) No (  )

    If no, explain.

5.2

In accordance with paragraphs 138-139 of Broadcasting Regulatory Policy CRTC 2010-499, please answer the following:

  1. Provide a list of the low power radio stations that may be affected by this application.

  2. Have you contacted the community and campus radio stations on this list to inform them that their station may be affected by this application?

    Yes (  ) No (  )

    If no, indicate why not, providing a detailed rationale.

5.3

Provide the following technical information:

  Proposed Operation Note
Frequency   kHz for AM

MHz for FM

Channel and Class    
Transmitter power (for AM) Watts  
Maximum ERP - Effective Radiated Power

(at beam-tilt angle) (for FM)

Watts If no beam-tilt is used, provide ERP in horizontal plane
Average ERP - Effective Radiated Power

(at beam-tilt angle) (for FM)

Watts If no beam-tilt is used, provide ERP in horizontal plane
EHAAT - Effective Height Above Average Terrain metres FM only
Antenna and Transmitter site coordinates N. North Latitude
W. West Longitude
Studio Location(s)   City and, where possible, street address
Subsidiary Communications (SCMO) / Subsidiary Data Yes ( )

No ( )

If yes, specify
Programming Feed Method(s)   Satellite, microwave, fiber optic cable, other (specify)
If rebroadcasting other station(s), identify station(s) rebroadcast   Call Letters
  Frequency
  Location

Supporting Documents to be Appended:

Appendix 5A

In the case of a regular power station, provide a clearly legible copy of the maps required in the Engineering Brief submitted to the Department of Industry, and which show the proposed coverage contours.

In case of proposal for a conversion from AM to FM, provide a comparison of the 5 mV/m AM contour with the 0.5 mV/m FM contour and of the 15 mV/m AM contour with the 3 mV/m FM contour.

In the case of a low-power AM, provide a copy of a map showing the proposed 0.5 mV/m, 5 mV/m and 15 mV/m coverage contours.

In the case of a low-power FM, provide a copy of a map showing the proposed 0.5 mV/m and 3 mV/m coverage contours.

The Commission encourages you to submit your proposed coverage area contours in a geographical information system (GIS) compatible file format (for example, .mid./.mif, .tab, .dxf, .dwg, .e00, .shp, .dgn). Also provide the map datum and projection used.

Appendix 5B

Documentation supporting the availability of the proposed transmitter site(s).

6. Programming

The following section relates to the programming obligations set out in Broadcasting Regulatory Policy 2010-499.

For details on content categories and subcategories, applicants should refer to Revised Content Categories and Subcategories for Radio Broadcasting Regulatory Policy CRTC 2010-819, 5 November 2010 (Broadcasting Policy CRTC 2010-819).

Licensees are reminded that, except where the Commission has provided otherwise in a condition of licence, they must also comply with the regulatory requirements set out in the Radio Regulations, 1986 (the regulations), as amended from time to time.

For the purpose of answering the following section, applicants are reminded that, in accordance with the regulations, a "broadcast week" refers to the total number of hours devoted to broadcasting during the 126-hour period extending from 6:00 a.m. to midnight, for seven consecutive days beginning on Sunday.

6.1 Conditions of licence

Campus and Community Radio stations

The licensee shall adhere to all conditions of licence set out in Broadcasting Policy 2012-304, 22 May 2012.

Yes (  ) No (  )

If no, please indicate any proposed amendments, along with the reasons why they are being sought.

6.2 Total broadcast hours (Maximum 126 hours, i.e. one broadcast week)

The applicant shall broadcast ________ hours per broadcast week.

Campus Radio Stations only

Please indicate the times of the year during which you will not be broadcasting.

6.3 Language(s) of programming of spoken word programming

  1. The principal language of programming is:
  2. Other languages of programming:

    Languages Per broadcast week
    Hours Minutes % of total programming
    Other official language (maximum)      
    Languages of Aboriginal Canadians (minimum)      
    Third-language programmingFootnote 2 (minimum)      
  3. The applicant proposes to devote ________ (hours:minutes) per broadcast week to the broadcast of newscasts. Of this amount, how many hours:minutes will consist of “pure news,” which excludes weather and sports bulletins: ________.
  4. The applicant undertakes to devote, during each broadcast week, a minimum percentage of news time to the following:

    Local News %
    Regional News %
  5. Please provide a list of communities that you consider “local” in terms of local news.

6.4 Sources of programming

Note: The total number of hours of local programming (6.4(a)) and wrap-around programming (6.4(b)) must be equal to the total number of broadcast hours (6.2) per broadcast week.

Local programming (maximum 126 hours, i.e. one broadcast week).

  1. The applicant shall broadcast, during each broadcast week, a minimum of _____:_____ (hours:minutes) of local programming.Footnote 3

  2. Wrap-around programming
    Specify the number of hours of programming obtained from another station (or other stations) ____ (hours:minutes) that the licensee will offer in each broadcast week during the licence term.
  3. Is the applicant proposing to operate as part of a network?

    Yes (  ) No (  )

    If yes, specify the name(s) of the network(s), the number of hours per broadcast day (6 a.m. to midnight) and the type of programming to be broadcast per week.

    Name Hours:minutes Type
         
    Note: Type of programming delivered by network (for example, sports, talk, entertainment, etc.)
  4. Is the applicant proposing to broadcast programming originating from another station?

    Yes (  ) No (  )

    If yes, specify originating station (call letters and location):

  5. If you answered yes to question 6.4(c) and/or 6.4(d), please indicate how these network or acquired programs will complement local programs without replacing them.

6.5 Breakdown of music categories

Please indicate the minimum percentage of each subcategory to be broadcast. The total percentage can be less than, but not more than, 100%.

Music Sub-category Breakdown - Specialty Formats
Music Sub-categoryFootnote 4 Description Minimum % of Total Music
21 Pop, Rock and Dance  
22 Country and Country-Oriented  
23 Acoustic  
24 Easy Listening  
31 Concert  
32 Folk and Folk-Oriented  
33 World Beat and International  
34 Jazz and Blues  
35 Non-classic Religious  
36 Experimental Music  

6.6 Local Talent Development

Please provide plans for the licence term with respect to the development of local talent in the fields of music and spoken word, such as projects to promote and feature music and spoken word creations by new Canadian artists, local artists and artists whose music is seldom heard on other stations.

6.7 Volunteer Participation

  1. Please describe your current and proposed measures to facilitate access and participation by volunteers (as well as students in the case of campus stations) from the community to programming, production, broadcasting and station management activities.
  2. Please describe your current and proposed measures to promote the availability of training throughout the community.
  3. Please describe your current and proposed methods for training and supervising those within the community who wish to participate in programming, as well as to ensure that programming obligations are met throughout the licence term.

6.8 Industry Codes

The licensee will accept, as conditions of licence, to adhere to the following codes during all hours of broadcast:

  1. The Canadian Association of Broadcasters' Broadcast Code for Advertising to Children (Public Notice CRTC 1993-99, Revised Broadcast Code for Advertising to Children, dated 30 June 1993), as amended from time to time and approved by the Commission.

    Yes (  ) No (  )

    If no, provide reasons.

  2. The Canadian Association of Broadcasters' Equitable Portrayal Code (Broadcasting Public Notice CRTC 2008-23, Equitable Portrayal Code, dated 17 March 2008), as amended from time to time and approved by the Commission (to be suspended as long as the licensee is a member in good standing of the Canadian Broadcast Standards Council).

    Yes (  ) No (  )

    If no, provide reasons.

6.9 Ethnic Programming

For more information on ethnic programming, applicants should consult Public Notice CRTC 1999-117 entitled Ethnic Broadcasting Policy, and consequent amendments to the Radio Regulations, 1986, set out in Public Notice 2000-92.

  1. Market with a local ethnic radio station

    Will the applicant operate in a market served by an ethnic radio station?

    Yes (  ) No (  )

  2. Ethnic programming by linguistic category

    Complete the following table relating to the broadcasting of ethnic and third-language programming.

    Please note that a "broadcast week" refers to the total number of hours devoted to broadcasting during the 126-hour period extending from 6:00 a.m. to midnight, for seven consecutive days beginning on Sunday. Percentages should be based on the total number of hours of programming broadcast by the station in a broadcast week (that is, the total number of hours of programming by the station in a broadcast week may be less than or equal to 126 hours).

    Please note that ethnic programming means programming provided in any language, that is specifically directed to any culturally or racially distinct group other than one that is Aboriginal Canadian or from France or the British Isles. Ethnic programming may be in English, French, a third-language or a combination of languages. Third-language programming means programming in languages other than French, English or those of Aboriginal Canadians.

    In determining the languages of ethnic programming, do not consider music, advertising, station contests and community and emergency messages during a particular ethnic program. However, in calculating the actual duration of each program, those elements must be counted.

    Language in which ethnic programming is provided Ethnic group to which it is directed Total duration of this programming per broadcast week
    (hours:minutes)
    % of the total programming provided during each broadcast week that is devoted to this type of programming
           
           
    % of the total programming provided during the broadcast week that is devoted to ethnic programming
    % of the total programming provided during the broadcast week that is devoted to third-language programming

In the case of a conversion from the AM band to the FM band only

I hereby request authority to simulcast the programming of my new FM station on my existing AM station for a transition period of the three months following implementation.

Yes (  ) No (  )

(  ) Check here if applicable

Should the proposed FM station be approved and a new licence be issued, and a simulcast period be granted, I hereby request that the Commission revoke, pursuant to Sections 9(1)e) and 24(1) of the "Broadcasting Act", the licence issued to my AM station at the end of the approved simulcast period.

(  ) Check here if applicable

Should the proposed FM station be approved and a new licence be issued, and no simulcast period be required, I hereby request that the Commission revoke, pursuant to Sections 9(1)e) and 24(1) of the "Broadcasting Act", the licence issued to my AM station following implementation on the new FM station.

Supporting Document to be Appended:

Appendix 6A

A copy of the proposed station's weekly programming schedule, as a sample of the type of programming to be broadcast. This schedule must identify the title of the program, a brief description, the number of the relevant content category (Broadcasting Regulatory Policy CRTC 2010-819) and the origin of the program (a sample of a block schedule is as follows).

Sample of a Block Schedule Format

Applicant:  _______________________________________

Location:  ______________________________________

  Sunday Monday Tuesday Wednesday Thursday Friday Saturday  
Hour               Hour
06:00       06:00
07:00    
    08:00
    08:30
09:00   Sample   09:00
10:30    
12:00       12:00
13:00    
15:00       15:00
    16:00
17:00    
18:00               18:00
21:00       21:00
24:00       24:00

Total hours of station-produced programming:

Note: a legend may be used to facilitate the entries made in the various blocks.

7. Request for documents to be designated as confidential

Sections 30 to 34 of the Rules of Procedure set out a process by which parties to Commission proceedings may file information on the record of a public proceeding in confidence.

A party filing information can “designate” it as confidential at the time it is filed with the Commission (section 31) if it falls into one of the following categories:

  1. Information that is a trade secret;
  2. Financial, commercial, scientific or technical information that is confidential and that is treated consistently in a confidential manner by the person who submitted it; or
  3. Information the disclosure of which could reasonably be expected:
    1. to result in material financial loss or gain to any person;
    2. to prejudice the competitive position of any person; or
    3. to affect contractual or other negotiations of any person.

At the time that the party files the information it designates as confidential, it must provide an abridged version of the document along with an explanation of how the information falls into a category of information listed in section 31. The party must provide a detailed rationale to explain why the disclosure of the information is not in the public interest (section 32(1)).

The confidential version of the document must be filed separately and must be marked “confidential” on each page. If the document is filed electronically, each file containing confidential information must include “confidential” in the file name.

The abridged version of the document and the reasons for the designation of information as confidential will be placed on the public record of the proceeding.

Please consult Implementation of new Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, 23 December 2010, and Procedures for filing confidential information and requesting its disclosure in Commission proceedings, Broadcasting and Telecom Information Bulletin CRTC 2010-961, 23 December 2010, for the complete process for filing confidential information.

7.1 Request for documents to be designated as confidential

Are you requesting for some information to be designated as confidential?

Yes (  ) No (  )

If yes, you must provide a detailed rationale to explain why the disclosure of the information is not in the public interest:

Book of supporting documents

Documents should be submitted in an accessible format (Broadcasting and Telecom Information Bulletin CRTC 2015-242)

Appendix Number and Name Appended
(Yes or No)
E-filed
(Yes or No)
Section 1: General Information
1A - Supplementary Brief    
Section 2: Ownership
2A - Constituting documents (or drafts)    
Section 5: Technical Information
5A - Contour Maps    
5B - Documentation - Availability of proposed Transmitter Site(s)    
Section 6 : Programming
6A - Block Program Schedule    

CRTC 114 (2016-04-08) - New - Community or Campus Radio

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