Spring 2012 Golden Eagle Competition Entry Form

For more information on submitting a series, click here: Rules and Regulations
CINE Categories

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*Indicates mandatory field

Title of Entry*  
Contact Person*
First Name:
Middle Initial:
Last Name:

I am the*

Producer
Network / Distributor Rep
School Rep
Other (please specify)

Organization*

If student, specify grade or program

Entrant Address*

City*

State*

Country*

Zip/Postal Code*

Phone (daytime)*

Fax

  

E-Mail*

  

Summary* — Briefly describe your production in 300 characters or or less.
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Purpose & Audience* — Very important to the judging process. Please explain in 300 characters or less why this work was produced or what you hope to accomplish and who is the intended audience.

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Organizations responsible for the production and distribution of this entry.(Fill in any slots that are applicable; multiple organizations may be listed on one line)

Production Company/Agency

  

Telecast Network

  

Distributor (Digital or Theatrical)

  

Sponsor/Client

  

School (include year/program)

  

Credits: Multiple people may be listed on one credit line, or you may condense multiple credits onto one line; eg, Producers/Directors - John Smith and Mary Smith

Credit(s)

Name(s)

Credit(s)

Name(s)

Credit(s)

Name(s)

Credit(s)

Name(s)