Jerusalem Awards Application Form 2010

A printable version of the application form is available to download here.

Name of Radio Station

Name of Producer

 

Name of Station Manager

 

Transmission Date

 

Transmission Time

 

Estimated Audience

 

Duration

 

Broadcast Title

 

Brief description and reason for nomination (this description will help the judges when short-listing entries)

 

Category

SHORTS PERSPECTIVES CHRISTMAS 09 GOOD FRIDAY 10

Media





Please tick if the Producer or Presenter qualifies for the under 25 award

PRESENTER PRODUCER PRODUCER / PRESENTER DATE OF BIRTH

Name and Address for Correspondence

 

Telephone

 

Email Address

 

We will need an off-air CD of your entry plus written evidence of transmission. We will be unable to consider any entries (including CDs) received after 5pm on 7th May 2010.

Please send your CD with a copy of this entry form to:

Jerusalem Awards
FREEPOST RRRZ-RXXR-KACL
London SW1E 5LB