Put Me On Roku

1

Full Name* This field is required.

First Name

Last Name

2

Company

3

Phone Number* This field is required.

Area Code

Phone Number

4

Is the footage you plan on using published anywhere else?Has the footage been published online, on TV or on any other platforms?

YESNO

5

Please list any platforms where the footage has been used.eg. YouTube, Facebook, Instagram, CNN, etc.

6

E-mail* This field is required.

example@example.com

7

Social Media Profiles

8

Website

9

Project Name

10

What do you want to do?

I want to start my own Roku TV Channel.

I want to be on your Roku TV Channel.

11

How frequently do you plan on posting new content to your Roku channel?

Daily

Weekly

Monthly

Frequency Will Vary

12

How crazy do we want to get with your channel?

I'm happy with the basics. My own branding, my own background, a couple categories, that type of thing.

I want a customized channel with all the bells and whistles.

13

The person filling out this from...

is the Content Creator.

represents the Content Creator.

is a future Content Creator.

owns content that they did not create.

14

How many completed episodes do you have ready to upload?

15

Does your project use music or visual elements that are protected by copyright by a third party?

16

What will constitute success for you with this project?

17

What is your monthly budget for your project?* This field is required.

Below $500

$501 - $1,000

$1,001 - $3,000

$3,001 and above

18

Are there any partners/sponsors involved in your project?

19

Who's in charge? Is the person making the financial decisions the same person filling out this form?

20

How soon would you like to be on Roku?

Immediately

Within the next 2 weeks

Within the next month

Within the next 2 months

I'm just taking my time

21

How did you hear about us?* This field is required.

22

Is there anything else you need us to know? What else is on your mind?