Application to Obtain a Broadcasting Licence to Carry on a Religious (Church) Radio Programming Undertaking

	Application to Obtain a Broadcasting Licence to Carry on a Religious (Church) Radio Programming Undertaking - Form 134
	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 conventions 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 134 "Application to Obtain a Broadcasting Licence to Carry on a Religious (Church) Radio Programming Undertaking" Appendix 1A - APP - Doc3 - Appendix 1A - Supplementary brief Appendix 2A - APP - Doc4 - Appendix 2A - Constituting Documents Appendix 3A - APP - Doc5 - Appendix 3A - Contour Map Appendix 3B- APP - Doc6 - Appendix 3B - 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.

For Commission's use

Application number

Canadian Radio-television and Telecommunications Commission

Application to Obtain a Broadcasting
Licence to Carry on a Religious (Church) Radio
Programming Undertaking

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)
	Not-for-profit corporation to be incorporated ( )
	Not-for-profit corporation ( )	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 electronically): Address of designated representative: TITLE: TELEPHONE: Facsimile: Email:
1.3	DECLARATION OF APPLICANT or its designated representative
	I, ___________________________________ SOLEMNLY DECLARE THAT:
	a)	I am the designated representative of the applicant named in this Application Brief 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 electronically): Date: WITNESSED BY Signature (not required if submitting electronically): 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

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	Citizenship	Position Held	Directors: Date and Term of Appointment

2.2	Any religious organization or foundation using the Canadian broadcasting system to solicit funds should be a charity, and should be registered as such with Canada Customs and Revenue Agency (CCRA) in accordance with the Income Tax Act (Public Notice CRTC 1993-78 - Religious Broadcasting Policy).
	We agree to adhere to the guideline that stipulates that any organization that solicits funds should be a registered charity organization.
		YES ( )	NO ( )
2.3	Who controls/will control the proposed undertaking and by what means? ______________________________________________________________________

SUPPORTING DOCUMENT TO BE APPENDED:
APPENDIX 2A	Copy of all constituting documents (for example, Letters Patent, Certificates and Articles of Incorporation, By-Laws, etc.) of the applicant.

3. TECHNICAL INFORMATION

3.1	a)	Have all required technical documents been filed with Industry Canada? Please note that the Commission cannot consider your application further until all documents are filed.
			YES ( )	NO ( )
	b)	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, explain.
3.2	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. W.	North Latitude West Longitude
Studio Location		City and, where possible, street address

SUPPORTING DOCUMENT TO BE APPENDED:

APPENDIX 3A

In the case of a regular power station, provide a clearly legible copy of the maps required in the Engineering Brief submitted to Industry Canada, and wich 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. This file can be submitted electronically or on a diskette.

APPENDIX 3B

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

4. FINANCIAL OPERATIONS

4.1	Establishment cost:	_________________________ $
4.2	Source of funds:	______________________________________________________ ______________________________________________________

5. INFORMATION ON THE PARISH

5.1	Majority religion:	_________________________
5.2	Number of followers of the majority religion:	_________________________
5.3	Number of followers of other religions:	_________________________

6. PROGRAMMING

6.1	The undertaking will provide live broadcasts of masses, weddings, funerals, baptisms and other such religious celebrations.
		YES ( )	NO ( )
6.2	MINIMUM number of programming hours per week (all programming will be local): __________
6.3	LANGUAGE(S) OF PROGRAMMING

Languages	(Ö)
English
French
Language of Aboriginal Canadians (specify):
Other (specify):

6.4	a)	The applicant undertakes to adhere to the guidelines on ethics and to comply with practices 1 to 4 of Public Notice CRTC 1993-78.
			YES ( )	NO ( )
	b)	Please specify how you intend to adhere to these guidelines and practices.
6.5	CONDITIONS OF LICENCE
	The applicant accepts the following CONDITIONS OF LICENCE, which must be adhered to during all hours of the broadcast day:
	a)	The licensee must broadcast programming consisting solely of religious services, with the exception of programs or program segments it produces for the purpose of ensuring balance on matters of public concern. Such programs or program segments must also adhere to guidelines (i) to (iv) contained in section III.B.2a) of Public Notice CRTC 1993-78.
			YES ( )	NO ( )
		If NO, explain.
	b)	The licensee shall not broadcast advertising material.
			YES ( )	NO ( )
		If NO, explain.
	c)	The licensee must adhere to the guidelines on ethics for religious programming set out in section IV of Public Notice CRTC 1993-78 regarding tolerance, integrity, social responsibility and solicitation of funds.
			YES ( )	NO ( )
		If NO, explain.

7. Request for documents to be designated as confidential

Sections 30 to 34 of the Canadian Radio-television and Telecommunications Commission Rules of Practice and 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:

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 Implementation of new Rules of Practice and Procedure, Broadcasting and Telecom Regulatory Policy CRTC 2010-958, 23 December 2010, and 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
2A	Constituting Documents
SECTION 3: TECHNICAL INFORMATION
3A	Contour Map
3B	Documentation - Availability of proposed Transmitter Site(s)

This document is available in alternative format upon request.
CRTC 134 (2011-04-01) - New - Radio (Church)
version française disponible

***End of Document***

Canadian Radio-television and Telecommunications Commission