ENTRY FORM
Thomson Foundation Young Journalist FPA Award, 2015
Before completing this form, please check the conditions of entry at
http://www.thomsonfoundation.org/fpa-young-journalist-award
Please submit to: awardfpa@thomsonfoundation.org
1.
Your details
Title (Mr,Ms,Mrs,Miss)
Forename
Surname
Date of birth (must be 30 or
under on 24/11/15)
Job title
Your media organisation (or state
if you are freelance)
Email
Telephone
Country (where you’re working)
2.
How did you hear about the award?
(web search, direct contact, recommendation etc)
3.
Medium of your 3 stories
Print/ Audio/ Video/ Web story (* please indicate with “X” below)
Print
Audio
Video
Web/multi-media
Page 1 of 3
4.
Details of your 3 stories
Story 1
Details of publisher or broadcaster:
Date (must be published or broadcast on or
after 28/08/2014):
Story URL (if available):
Description (max 200 words - explaining impact on public debate in your country):
Story 2
Details of publisher or broadcaster:
Date (must be published or broadcast on or
after 28/08/2014):
Story URL (if available):
Description (max 200 words - explaining impact on public debate in your country):
Story 3
Details of publisher or broadcaster:
Date (must be published or broadcast on or
after 28/08/2014):
Page 2 of 3
Story URL (if available):
Description (max 200 words - explaining impact on public debate in your country):
CHECKLIST
Please check the following before you make your submission
1)
Your age: are you 30, or under, on 24 November, 2015?
2)
Were your three published or broadcast pieces of work produced in the 12
months preceding 28 August, 2015 (the 12 months prior to the deadline for
submissions)?
3)
If your stories are not in English, have you provided a verbatim translation
or transcript in English?
4)
Have you enclosed a letter from your current editor, verifying that your three
submissions are your work? Or, if you are freelance, or self-employed, a
letter from the editor of the publication or broadcaster for each submission.
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