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This FOCAL International Awards 2009 Submission Form should be used for the following Award categories ONLY:

xiv) The Jane Mercer Footage Researcher of the Year Award

SUBMISSIONS ENTRY FORM CLOSING DATE FOR ENTRIES 1st DECEMBER 2008 Before completing, please ensure that you have read the RULES of ENTRY. To qualify, the Footage Researcher (who must be a FOCAL International Member) must be associated with work, broadcast or first shown during the qualifying period 1st January 2008– 31st December 2008. Supporting visual material is required. There is NO charge for entering this Award category. IT IS RECOMMENDED THAT YOU PRINT OFF A COPY OF THE ENTRY FORM BEFORE COMPLETING IT ONLINE TO ENSURE THAT YOU HAVE ALL THE INFORMATION NEEDED BEFORE COMMENCING DATA ENTRY * denotes mandatory field - if a field is not relevant, please enter an 'X'
Award Category entered:	The Jane Mercer Footage Researcher of the Year Award
Name Footage Researcher nominated:
First name: *	Last name: *
Company name *
Address Line 1 *
Address Line 2
Town:
County:
Postcode/Zip: *
Country: *
Tel: *
Mobile:
Email: *
Country of Origin of Nominee: *
Title of Production/Series cited: *
Specific Episode entered as representing a Series cited: *
First Transmission / Publication Date: *
Where published (Channel/Website): *
Programme Duration (Mins): *
Series number episodes: *
Producer(first name):	Producer (last name):
Director(first name ):	Director (last name):
Top 5 Source(s) of Library Footage used in Production cited:
2
3
4
5
Brief Synopsis of cited work which the Researcher nominated worked on, in English (up to 100 words): *
Reason for submission in English (up to 100 words): *

Submitter’s details:
First name: *	Last name: *
Job Title:
Company: *
Address Line 1: *
Address Line 2:
Town:
County:
Postcode/Zip: *
Country: *
Tel: *
Mobile:
Email: *

 

 

 

 

 

 

 

 

 

 

 

 

I confirm that the Nominee named above, and the production company of the programme cited is aware of this submission and agree to abide by the RULES of ENTRY to the FOCAL International Awards.

Authorised by:
1) First name: *	Last name: *
Job Title:
Company: *
Address Line 1: *
Address Line 2:
Town:
County:
Postcode/Zip: *
Country: *
Tel: *
Mobile:
Email: *

 

 

 

 

 

 

 

 

 

 

 

 

 

I have read and accept the RULES of ENTRY

After submitting this form please print TWO copies of the completed application form (ONE to send with relevant viewing material, and ONE for your own records). Your completed application form will be available for printing on the next page.

This must be supported by THREE clean identical copies of the production or episode cited on DVD (“All Zones”) or VHS (“PAL”). Viewing material should be in English, dubbed or subtitled if possible. If this is not possible, then the orignial language version should be supported by a synopsis in English. Any visual material provided on incorrect formats will not be considered.

Address to send copy of Submission Form and viewing material:

FOCAL International, Pentax House, South Hill Avenue, South Harrow, Middlesex HA2 0DU, UK

For further information:

Tel: +44 (0)20 8423 5853 Fax: +44 (0)20 8933 4826

email: info@focalint.org web: www.focalint.org