Application to Obtain a Broadcasting Licence to Operate a Type B Native Radio Undertaking (including low-power) - Form 103

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.

Applicants must meet the following qualifications for a Native Undertaking which is defined as follows:

Native Undertaking: This undertaking is characterized by its ownership, programming and target audience. It is owned and controlled by a non-profit organization whose structure provides for board membership by the native population of the region served. Its programming can be in any native Canadian language or in either or both of the two official languages, but should be specifically oriented to the native population and reflect the interests and needs specific to the native audience it is licensed to serve. It has a distinct role in fostering the development of Aboriginal cultures and, where possible, the preservation of ancestral languages. (Native Broadcasting Policy - Public Notice 1990-89 dated 20 September 1990)

For further information on requirements for these types of stations, applicants should consult Changes to conditions of licence for certain native radio undertakings, Public Notice CRTC 2001-70, 16 June 2001.

Note: The Commission expects Type A native radio undertakings that meet the exemption criteria to fill in the registration form (for information purposes only) and submit it to the Commission. The exemption criteria and registration form are attached as Appendix A and B respectively to Public Notice CRTC 1998-62 dated 9 July 1998.

General instructions

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 103 "Application to Obtain a Broadcasting Licence to Operate a Type B Native Radio Undertaking (including low-power)"
Appendix 1A Doc3 - Appendix 1A - Supplementary Brief
Appendix 2A Doc4 - Appendix 2A - Constituting Documents (or drafts)
Appendix 6A Doc5 - Appendix 6A - Maps - Proposed Coverage Contours
Appendix 6B Doc6 - Appendix 6B - Documentation - Availability of Proposed Transmitter Site(s)
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 (  )

Location of undertaking:  _________________________

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 CRTCRules 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

2. Ownership

2.1

Please provide the following information 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 Citizenship Directors:
Date and term of Appointment
Officers:
Position Held
         
         
         
         

2.2

Who controls/will control the proposed undertaking and by what means?

______________________________________________________________________

2.3

Would you accept a condition of licence that the undertaking be on air within 12 months of the date of a favorable decision?

Yes ( ) No ( )

If no, explain.

Supporting document to be appended:

Appendix 2A

Copies of all constituting documents (for example, Letters Patent, By-laws, etc.). (Provide draft documents where an applicant is not yet incorporated)

3. Source(s) of funding / revenue

3.1

Check sources from which funding/revenue is derived:

Sources Check ( ✓ )
Government grants  
Advertising  
Fundraising (for example, memberships, bingo)  
Other (Specify):  

4. Marketing information

4.1

Please 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    

4.2

Please identify the sources from which population data has been obtained:

___________________________________________________________________________

___________________________________________________________________________

5. Programming information

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

With the exception of question 5.2, 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.

5.1 Total number of broadcast hours (maximum 126 hours or one broadcast week)

  1. The station will broadcast a total of _____ hours of programming per broadcast week, of which approximately _____ hours would be devoted to spoken-word programming and _____ hours would be devoted to musical content.
  2. Indicate the total number of hours of programming that would be broadcast per broadcast week in the following languages (including local and wrap-around programming):
Languages Hours:Minutes
English  
French  
Language(s) of Aboriginal Canadians
(for each Aboriginal language, specify language with the respective hours/minutes)
 
Total (must be equal to 5.1a)  

Sources of programming

Note: The total number of hours of local programming (5.2a) and wrap-around programming (5.3a) must be equal to the total number of broadcast hours (5.1a) per broadcast week.

5.2 Local programming

  1. During each broadcast week, the applicant intends to broadcast a minimum of ___:___ (hours:minutes) of local programmingFootnote 2 (station-produced programming).
  2. Please specify the languages in which you will broadcast the station-produced programming as well as the approximate number of hours devoted to each of them:

    Language of broadcast Number of hours:minutes
    English  
    French  
    Language(s) of Aboriginal Canadians  
    Total (must be equal to 5.2a)  


  3. Please specify the aboriginal language(s) used, if applicable:
    ______________________________________________________________________

  4. Specify native communities to which the English- or French-language programming is directed to:
    ______________________________________________________________________

5.3 Wrap-around programming

In Public Notice CRTC 2001-70, the Commission states that native stations wishing to carry wrap-around programming after hours will be either encouraged or required to use programming from another native station or network, depending on the circumstances specific to each.

  1. The applicant expects to broadcast a total of __________ (hours:minutes) of wrap-around programming during each broadcast week.
  2. Does the applicant propose to broadcast programming originating from another station?

    Yes ( ) No ( )

    If yes, please specify the name and location of each originating station.

    ______________________________________________________________________

  3. Does the applicant propose to operate as part of a network?

    Yes ( ) No ( )

    If yes, the applicant expects to broadcast a maximum of ___:___ (hours:minutes) of network programming during each broadcast week.

    If network programming is proposed, specify the name(s) of the network(s) as well as the number of hours (based on 24-hour days) and the type of programming to be broadcast per week for each network.

    Name Hours:Minutes
    (24-hour days)
    Type of ProgrammingFootnote 3
         
         
         
  4. If the sources stated in b) or c) are not another Aboriginal station or network, please provide the reason(s) for which you have not selected programming originating from another Aboriginal station or network.

5.4 Type of Programming

Specify the number of hours per week (06:00 to 24:00) per programming category as follows:

Programming Categories Hours:Minutes
News  
Other Talk  
Religious  
Public Affairs  
Educational  
Children's / Youth  
Pop, Rock and Dance Music  
Country Music  
Other Music (Specify)  
TOTAL  

5.5 Aboriginal Talent Development

  1. Specify the percentage of music broadcast that will be performed or composed by Aboriginal talent:  ______%

  2. Indicate the initiatives that the station will undertake with respect to the promotion, presentation and development of Aboriginal musical talent:

    Initiatives Check ( ✓ )
    Airplay of Aboriginal music  
    Broadcast of special programs (for example, concerts, etc.)  
    Promotion  
    Other (Specify)  

  3. Briefly describe these initiatives:

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

5.6 General Programming Orientation

Describe how the undertaking proposes to address the specific needs and concerns of the Aboriginal population in its proposed service area and describe the efforts it will make to strengthen culture and preserve Aboriginal ancestral language(s):

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

5.7 Conditions of Licence

Confirm that the licensee will respect the following, as conditions of licence

  1. to adhere to the provisions of 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, please explain.

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

  2. to adhere to the guidelines on gender portrayal set out in 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, please explain.

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

  3. to devote a minimum of 35% of all Category 2 musical selections broadcast, during each broadcast week, to Canadian selections (Public Notice CRTC 2001-70 dated 15 June 2001).

    Yes ( ) No ( )

    If no, provide reasons why you would not be able to meet this obligation.

    ______________________________________________________________________

    ______________________________________________________________________

    ______________________________________________________________________

6. Technical information

6.1

Have all required technical documents been filed with the Department of Industry?

Yes ( ) No ( )

If no, indicate which documents have yet to be filed and when you expect to file them.

Please note that the Commission cannot consider your application further until all documents are filed.

6.2

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, please specify which document or correspondence you do not wish to include.

6.3

In accordance with paragraphs 138-139 of Broadcasting Regulatory Policy CRTC 2010-499, Campus and community radio policy, dated 22 July 2010, 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.

6.4

Provide the following technical information:

  Proposed Operation Note
Frequency (Channel)   kHz for AM
MHz for FM
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) Yes ( )
No ( )
If yes, specify
Programming Feed Method(s)   Satellite, microwave, fiber optic cable, other (specify)

6.5

Provide the following information regarding capital costs and facilities:

  Cost of Assets to be purchased $ Value of assets to be leased $ Annual lease $
Studio Plant      
Transmitting Plant      
Contingency      
TOTAL      

Supporting documents to be appended:

Appendix 6A

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 the case of a proposal for a conversion from AM to FM, provide a comparison of the 5mV/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.

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. This file can be submitted electronically or on a diskette.

Appendix 6B

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

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 Information
2A - Constituting Documents (or drafts)    
Section 3: Technical Information
6A - Maps - Proposed Coverage Contours    
6B - Documentation - Availability of Proposed Transmitter Site(s)    

CRTC 103 (2015-06-11) - New - Type B Native Radio

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