EUROPEAN UNION PRIZE FOR CULTURAL HERITAGE/ EUROPA NOSTRA AWARDS 2012 ENTRY FORM CATEGORY 2- RESEARCH The form should constitute part of a detailed entry dossier and be submitted in duplicate by 1 October 2011 (date of sending) to: Copy 1 Copy 2 Elena Bianchi, Prof. Arch. Gianni Perbellini, Heritage Awards Coordinator, Chairman of the Jury (Category 2), Lange Voorhout 35, Vicolo Case Rotte 2 NL - 2514 EC Den Haag, I - 37129 Verona The Netherlands Italy Title of the study (original language and translation. Max. 60 characters) Author(s) Type (check one only as applicable) a study results of research a scientific publication preliminary research prior to restoration a Master Plan / Conservation Plan Brief description of the study (max. 200 words) Start and completion (between September 2008 and September 2011) date of the project Entrant Name (title - first name - last name) Function Organisation Address (Street name and number- postal code- town-country) Telephone Mobile phone Email Website To be completed by Europa Nostra: HA-2012/ / Concise summary The summary should cover: aims of the project and its results, as well as the qualities which make it outstanding in a European context. 1 page only Detailed description The detailed description should be 5000 to 10,000 words. This should cover the following points: objectives, main frames of reference, methods, argumentation and findings; contribution of the study to the conservation and enhancement of cultural heritage; impact on conservation policy and practice; historical, cultural, environmental, education and/or social value; European added-value; specification of the study's tangible effects in the field of cultural heritage. Reviews If applicable, any reviews of the study should be included Illustrations The summary and the description should be illustrated with diagrams and photographs from the study or, if appropriate from its tangible results. All illustrations should be clearly labelled and captioned. Two (2) CD ROMs The dossier in PDF format and the illustrations must also be sent on two (2) CD ROMs: 1 - CD ROM 1 is for quick reference by the jury. Photo files on this CD ROM should be in jpeg format only and not exceed 150kB each. 2 - CD ROM 2 contains ready for print files for possible inclusion in the magazine that will be published on the occasion of the European Heritage Awards Ceremony. Photo files on this CD ROM should be in high resolution (300dpi) and in jpeg or tiff format only. Checklist (please check each item; this should help you to prepare a complete dossier in compliance with the Conditions of Entry) Cover-page with the name and an illustration of the study The completed and signed entry form Any reviews of the study Illustrations (where applicable) A copy of the study in the original language and form 1 CD ROM including PDF entry dossier and low resolution (< 150kB) illustrations in jpeg format 1 CD ROM including PDF entry dossier and high resolution photographs in jpeg or tiff format Dossiers which fail to fulfil the requirements will not be presented to the jury Declaration of entrant I wish to submit the above-named entry to the 2012 European Union Prize for Cultural Heritage / Europa Nostra Awards. I have enclosed the required documentation (see ‘Dossier requirements for Category 2') and agree to the conditions set up by the Awards scheme. I confirm that I have obtained permission from the owners of the copyright for Europa Nostra, to freely use the photographs and material submitted (and others subsequently requested) for all purposes of publication and promotion of the Awards. Name, signature and stamp of entrant Date First submission/ Resubmission □ I confirm that this is the first time that this project has been submitted for the European Union Prize for Cultural Heritage / Europa Nostra Awards □ This is a resubmission of this project for the European Union Prize for Cultural Heritage / Europa Nostra Awards. The registration number and title of the previous submission was: _________________ Name and signature of entrant Declaration of the author(s) I………………………………………… give permission for the above-named entry to be submitted to the 2012 European Union Prize for Cultural Heritage / Europa Nostra Awards. Signature of author(s) Date Declaration of photographer I ………………………………………., who own the copyrights of the photographs, grant permission for Europa Nostra, to freely use the photographs and material submitted (and others subsequently requested) for all purposes of publication and promotion of the Awards. Signature of photographer Date