Application to obtain a broadcasting licence to operate a type B native radio undertaking (including low-power)

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

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)

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

1.	Filing
	File electronically via Access Key by attaching the application to the Cover page. Access Key allows secure transmissions to the Commission and also authenticates your identity. Therefore, a signature is not required when using Access Key. 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 the Access Key service or who need further information relative to the CRTC processes can contact the Commission at 1-877-249-CRTC (2782).
2.	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 convention for the 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.
	The Covering Letter (if any) - APP - Doc1 - Cover Letter dated ____ The Application Form - APP - Doc2 - Form 103 "Application to Obtain a Broadcasting Licence to Operate a Type B Native Radio Undertaking (including low-power)" Appendix 1A - APP - Doc3 - Appendix 1A - Supplementary Brief Appendix 2A - APP - Doc4 - Appendix 2A - Constituting Documents (or drafts) Appendix 6A - APP - Doc5 - Appendix 6A - Maps - Proposed Coverage Contours Appendix 6B - APP - Doc6 - Appendix 6B - Documentation - Availability of Proposed Transmitter Site(s) Each confidential document - NOT WEB - APP - Doc - CONFIDENTIAL - "brief description of the document" Each abridged version of each confidential document - APP - Doc - ABRIDGED VERSION - "same description of document for which confidentiality is requested"
	The Commission may return the application if it has not been duly completed or if the required technical documentation has not been filed with Industry Canada. The onus will be on the applicant to submit a clear application that provides all of the relevant information, identifies all regulatory issues raised in the application and provides supporting documentation.

Canadian Radio-television and Telecommunications Commission

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

1. GENERAL INFORMATION

TYPE OF STATION:	AM ( )	FM ( )	Check here if low-power* ( )
^*Low-power AM is an undertaking with a transmitter power of less than 100 watts in the 525 - 1705 kHz band. Low-power FM is an undertaking with a maximum Effective Radiated Power (ERP) of 50 watts and transmitting antenna height of 60 metres in the 88 - 108 MHz band.

LOCATION OF UNDERTAKING: _________________________
1.1	IDENTIFICATION OF PROPOSED LICENSEE (hereinafter the applicant)
	Individual ( )	Company to be incorporated ( )
	Company ( )	Other ( ) Specify: ____________________
	NAME: ADDRESS: Facsimile: Email: CONTACT PERSON REPRESENTING THE APPLICANT (if there is no designated representative under question 1.2) NAME: TITLE: TELEPHONE: Please indicate the email address and facsimile number that should be specified in a Public Notice. Facsimile: Email:

1.2	Appointment of designated representative
	I, _______________________________________, the applicant, hereby appoint _________________________________________ 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: Signature (not required if submitting electrnoically): ADDRESS OF designated representative: TELEPHONE: Facsimile: Email:
1.3	DECLARATION OF THE APPLICANT or its designated representative
	I, _____________________________ SOLEMNLY DECLARE THAT:
	a)	I am the designated representative of the applicant named in this application form and as such have knowledge of all matters declared therein.
	b)	The statements made in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) to the best of my knowledge and belief true in all respects.
	c)	The opinions and estimates given in this application, or any document filed pursuant to any request for further information by the Commission, are (will be) based on facts as known to me.
	d)	I have examined the provisions of the Broadcasting Act and the broadcasting regulations relevant to this application.
	AND I HAVE SIGNED Signature (not required if submitting electrnoically): Date: WITNESSED BY Signature (not required if submitting electrnoically): Name (Printed): Date : At:
1.4	Location(s) where the application may be examined
	Set out the applicant’s website address or, if the application is not posted on their website, the email address where an electronic copy of the application may be requested: Website: Example: www.mycompany.com Email: Example: no-reply@no-reply.com
1.5	Procedural request The Canadian Radio-television and Telecommunications Commission Rules of Practice and 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 the Implementation of new Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, 23 December 2010, and the 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:

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 ( Ö )
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:

	3mV/m CONTOUR (FM) 15 mV/m CONTOUR (AM)	0.5mv/m CONTOUR (FM) 5mV/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	Sources of Programming - Number of hours per broadcast week (06:00 to 24:00):
	a)	The applicant expects to broadcast a minimum of ___:___ (hours:minutes) of station-produced programming during each broadcast week.
	b)	The applicant expects to broadcast a minimum of ___:___ (hours:minutes) of station-produced programming during each broadcast week in the language(s) of Aboriginal Canadians. Specify language(s): _________________
	c)	The applicant expects to broadcast a minimum of ___:___ (hours:minutes) of station-produced English programming during each broadcast week.
	d)	The applicant expects to broadcast a minimum of ___:___ (hours:minutes) of station-produced French programming during each broadcast week.
	e)	Specify native communities to which the English- or French-language programming is directed to: __________________________________
	f)	Does the applicant propose to broadcast programming originating from another station?
			YES ( )	NO ( )
		If YES, the applicant expects to broadcast a maximum of ___:___ (hours:minutes) of non-station originated programming during each broadcast week. Please specify originating station: ______________________
	g)	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.
5.2	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 PROGRAMMING⁽¹⁾

⁽¹⁾

Type of programming delivered by network (for example, sports, talk, entertainment, etc.)

5.3	Language(s) of Programming
	a)	Specify the total number of hours of programming that will be broadcast per week (06:00 to 24:00) (including non-station originated programming and network programming):

LANGUAGES	HOURS:MINUTES (per broadcast week)
English
French
Language(s) of Aboriginal Canadians (Specify language with the respective hrs/mins)

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
a)	Specify the percentage of music broadcast that will be performed or composed by Aboriginal talent: ______%
b)	Indicate the initiatives that the station will undertake with respect to the promotion, presentation and development of Aboriginal musical talent:

INITIATIVES	CHECK ( Ö )
Airplay of Aboriginal music
Broadcast of special programs (for example, concerts, etc.)
Promotion
Other (Specify)

	c)	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 The applicant accepts the following, as CONDITIONS OF LICENCE, during all hours of broadcast:
	a)	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, provide reasons why you would not be able to meet this obligation. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
	b)	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, provide reasons why you would not be able to meet this obligation. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
	c)	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 Industry Canada?
		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 Industry Canada 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: a) Provide a list of the low power radio stations that may be affected by this application. b) 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 & Transmitter site coordinates	N. W.	Latitude North Longitude West
Studio location(s)		City and, where possible, street address
Subsidiary communications (SCMO)	YES ( ) NO ( )	If YES, specify
Programming feed method(s)		Satellite, Microwave, Fibre Optic, 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 Industry Canada, 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 Implementation of new Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, 23 December 2010, 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:

Information that is a trade secret
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
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 the Procedures for filing confidential information and requesting its disclosure in Commission proceedings, Broadcasting and Telecom Information Bulletin CRTC 2010-961, 23 December 2010, for 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

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)

This document is also available in alternative format upon request
CRTC 103 (2011-04-01) - Radio - New Native
version française disponible

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