ENTRY FORM For 2009 Awards

For EACH entry, please fill out this page on screen, print out three copies and sign the bottom. Attach it to a short explanation of the story and how it developed, and the resources of the newsroom (money and time) available to complete the story. Ensure your entry is in the required format. Enclose it with the fee of $55.00 (no tax) per item. DEADLINE: Postmarked Friday, January 29, 2010. Cheques or money orders should be payable to the Atlantic Journalism Awards.

Mail or courier your complete entry to:
Atlantic Journalism Awards
c/o 3rd Floor
1723 Hollis Street
Halifax, Nova Scotia
B3J 1V9

bulletSlug/Label:
bulletCategory:
bulletDate aired or published: bulletMedia outlet where first aired or published:
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bulletMedium: bulletName of program:
bulletIf co-produced, list partner: bulletLocation:
bulletList awards, grants: bulletRunning time (TV/Radio):
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bulletName of entrant(s): bulletName of nominator, if any:
bulletPhone: bulletPhone of nominator, if any:
bulletAddress of entrant(s): bulletAddress(es) of nominator, if any:

bulletE-mail: bulletE-mail of nominator, if any:
bulletSignature of entrant(s) or nominator: