2011 International AWARDS of Excellence for Documentary Making

Make Their Voices Heard . . . See Their Lives!

ENTRY FORM

Please read Rules of Entry before completing the form clearly and legibly.

I wish to enter a documentary in the following category:

r Radio r Television

Contact Name (Surname, Given Name, Middle):

Address:

Telephone including country and area codes: E-mail:

Documentary Title in English:

Original Title:

Name of Producer:

Telephone including country and area codes: E-mail:

Name of Director:

Telephone including country and area codes: E-mail:

Synopsis:

Running Time: Production Year:

Broadcast Date: Channel:

Festival Screening Date: Festival:

TV Format: r DVD

Is Original in English? rYes r No Original Language?

NON-ENGLISH LANGUAGE TV PROGRAMMES MUST BE PRESENTED WITH EITHER:

Please tick appropriate box

r Subtitles r Voice Over rEnglish translation

Radio Format: r CD r Submitted online in MP3 format

Director’s Brief Profile or Attach a Curriculum Vitae:

______

______

______

______

______

______

______

______

ENGLISH TRANSLATION MUST ACCOMPANY NON-ENGLISH LANGUAGE RADIO ENTRIES

No Entry Fees Required

Send Entry Form and DVD/CD to:

Gerd Inger Polden

NRK, RC11, O340 Oslo, Norway

Tel.(+47) 41 46 92 77

Send entry form also by e-mail to:

All DVDs/CDs /online format must be received by Gerd Inger Polden no later than Saturday, 15 October 2011.

DECLARATION:

I understand that I am responsible for transport of this/these DVDs/CDs and any insurance required and that they will not be returned.

I hereby accept the terms and conditions of the 2011 IAWRT Radio and TV Awards. All matters not covered by the rules of entry will be decided by the Award organizers or left to the discretion of the Award jury.

IAWRT is currently trying to set up a media archive of women´s programmes for non-commercial, educational use. Do you agree to let your programme be included in this archive?

rYes r NO

If your documentary wins the AWARD do you agree to let IAWRT stream 3 min. of it on the IAWRT website.

rYes r NO

Some IAWRT Regional Chapters and individual IAWRT members may arrange film festivals or workshops where they will present the entries for non commercial cultural and educational purposes. Do you agree to let your documentary be presented at IAWRT arranged non commercial festivals and workshops?

rYes r NO

Date: Place: Signature: