2014 Human Interest Story Contest Entry Form Deadline: September 5, 2014 To qualify for the contest, you must fill out all sections completely. Entries must be in English. Country: Sub-Office: RMU: ARMU Date Submitted: All contest entries must include a story and associated JPEG photos. Check here if your entry includes an optional video associated with your story and photos. . About the Author: Name: Job title: Phone number: Email address: T-Shirt Size Small Employed by CARE how long? If photographer or videographer is different than the story author, explain here: Consent Form: The subject/s of the submitted story, photos and video/s gave written or oral permission for all CARE International members and country offices to use their stories and likenesses. Only if necessary: I have changed the subject names to protect identities. Author’s consent (type author’s name here): *Your typed name gives CARE permission to use your entry in internal and external media. About the CARE Project: Project name: Project Number (PN): Project start and end dates: Provide a brief project description that includes: geographic area, number of project participants, donor/s, expected results and any additional information to provide context for your entry. No more than 500 words. About the Story, Photos, and Video: Story/Video Title: Contest Category: Climate Change *All stories are eligible for the Grand Prize. Subject Name/s: 1 2014 Human Interest Story Contest Entry Form Deadline: September 5, 2014 Subject type (check all that apply): Adult/s Woman Women Child/Children Man Men Girl Boy Children Human Interest Story Type story here. Space is unlimited. 2 2014 Human Interest Story Contest Entry Form Deadline: September 5, 2014 Photo Captions Photo captions should include: subject name/s, subject age/s, location where photo was taken and one-sentence project description. Example: Photo 12: Maria Lopez (second girl from the right in the red shirt), age 9, stands with her friends in front of their primary school. CARE’s Girls’ Education project has improved opportunities for Maria and her friends by training teachers and providing the school with new science kits. Type photo captions here. Space is unlimited. Video Information If you are submitting a video, is there any additional information you would like to share? Locations and details about your video shots are helpful. Social Media Tell an emotional and personal story in less than 200 words. If you’re sending in a video, it should be less than three minutes. In addition to your short social media story, please send two or more photos to raise CARE supporters’ interest, i.e. people in action, or unusual looking objects or scenes. Emphasize small, intimate details to tell a unique, engaging short story about CARE’s work. We will use these short pieces in CARE’s Facebook, Twitter and/or other social media websites, which reach thousands of supporters. Type your social media submission here. Again, please keep it less than 200 words and be creative! 3