Alliance for Community Media Hometown Video Awards 2010 Call for Entries

Please download and review the Entry Booklet which contains all rules and category descriptions.

You are responsible for knowing this information.

Once you have filled out the online form you will receive a confirmation email to attach with your entry. You will also be given the opportunity to pay online.

CONTACT INFORMATION

ALL correspondence will be sent to this person and address.

Name: *

Organization:

Address: *

City: *

State:

Zip or Postal Code: *

Country:

Phone (day): *

Fax:

E-mail: *

Please select your category:

Category Type:

Standard Entry

Overall Excellence Entry

Please select your entry category

STANDARD ENTRY CATEGORY

Category:

Program Title:

Producer Name(s):

(Please list names as they should appear on your award - maximum 60 characters)

Producer Division:

(Check ONE only.)

Describe why this program was important to the community that viewed it:

(Please keep your answer to 75 words max)

What was the purpose of this program; what did you as the producer wish to accomplish?:

(Please keep your answer to 75 words max)

OVERALL EXCELLENCE CATEGORY

Overall Excellence in Community Media entries must be submitted by an access organization, cable company, educational institution, local government, or other institution that provides public, educational, or governmental access services.

Overall Excellence Category:

Overall Excellence Budget Divisions:

Is your organization?:

The year this organization began providing access services:

Number of FT paid staff:

Number of PT paid staff:

Annual Operating Budget:

Annual Capital Budget:

How many channels do you program?:

public

educational

government

Select all that apply.

Total hours of first-run, locally produced programming, cablecast during the last calendar year:

Number of individuals who utilized your services in 2009:

Number of organizations or agencies who used you services in 2009:

Population of your service area:

Total number of cable subscribers served:

Cities/municipalities served:

Please provide an overview of your access organization – history, structure, services, etc.:

(250 words max)

How did programming created through your facility in 2009 address community needs or concerns?:

(250 words max)

Please describe how your organization has utilized emerging media and communication tools to connect with your community:

In addition to your cable channels (250 words max)

SUBMISSION INFORMATION

Entry Fee: *

You will be asked to pay upon submitting your entry either by online payment or by check.

Judging Form:

Please return judging forms

The Hometown management will make every effort to return judging scores and comments to those who specifically request them. However, due to a variety of circumstances beyond our control, the Hometown management cannot guarantee the return of all forms.

To assist in promoting the Hometown Video Awards, the Alliance for Community Media and community media in general, I agree to give the Alliance for Community Media the right to distribute my program on a non-exclusive basis for two years. I have obtained all required approvals, clearances, licenses, etc., for the use of the program material contained in this entry, and will provide such clearances on request by the Alliance. I assume full responsibility for the content of all program material in this entry and verify that all information provided is accurate. I also agree to have the above information printed in Alliance listings, directories, and catalogs. My signature demonstrates that I have the authority to submit this entry on behalf of the individual/organization noted above. I understand the media I am submitting will not be returned.

Signature: *

Entry Deadline:

All entries must be received by March 27, 2010.