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1 Award and Key Contact Information * = required field *AWARD CATEGORY Please select the award category you are entering (select one only): (01) Books 1/14

2 (02) Magazines (03) Newspapers (04) Commentary (05) Drama and Literature (06) Documentaries (07) Television (08) Radio (09) Other Media *AWARD CONTACT INFORMATION Please indicate below the individual who is your contact for further communications (for purposes of awards notification, next year s entry materials, etc.): *First Name *Last Name Postition or Title *Organization *Address *City *State *Postal Code *Phone * 2/14

3 Website Twitter Handle In the next question, please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). Is the awards contact person also one of the key creative personnel? Yes No Please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). You may enter up to five contacts, one at a time: *First Name *Last Name Postition or Title *Organization *Address *City 3/14

4 *State *Postal Code *Phone * Website Twitter Handle Please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). You may enter up to five contacts, one at a time: *First Name *Last Name Postition or Title *Organization *Address *City *State *Postal Code *Phone * 4/14

5 Website Twitter Handle Do you have additional key creative personnel (enter additional contact)? Yes No Please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). You may enter up to five contacts, one at a time: *First Name *Last Name Postition or Title *Organization *Address *City *State *Postal Code 5/14

6 *Phone * Website Twitter Handle Do you have additional key creative personnel (enter additional contact)? Yes No Please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). You may enter up to five contacts, one at a time: *First Name *Last Name Postition or Title *Organization *Address *City 6/14

7 *State *Postal Code *Phone * Website Twitter Handle Do you have additional key creative personnel (enter additional contact)? Yes No Please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). You may enter up to five contacts, one at a time: *First Name *Last Name Postition or Title *Organization 7/14

8 *Address *City *State *Postal Code *Phone * Website Twitter Handle Do you have additional key creative personnel (enter additional contact)? Yes No Please indicate key creative personnel for your entry (e.g., writer, director, producer, editor, designer, talent). You may enter up to five contacts, one at a time: *First Name *Last Name 8/14

9 Postition or Title *Organization *Address *City *State *Postal Code *Phone * Website Twitter Handle Award Entry Information *Entry title: *Date of entry's initial public release: 9/14

10 *AUDIENCE Please provide estimates for entry's public impact (e.g., circulation [frequency and number], market share, distribution figures): *LENGTH OR DURATION Please indicate entry's word count, page length, or running time, as appropriate: *Where can the public access or purchase the entry (e.g., online at specific web address)? *ENTRY ABSTRACT/SUMMARY Please provide a brief summary of your entry. Indicate how it meets the Gavel Awards objectives and criteria. Limit: 3000 characters. The first 100 words may be used as an abstract for program and promotional purposes, so make sure they effectively highlight your entry. 10/14

11 *SUPPORTING INFORMATION You may selectively include additional information to help us evaluate your entry (especially regarding its impact upon the public), such as reviews, media coverage, letters from the public, or reports; transcripts or supplemental materials; previous awards and recognition for entry; and information on entry, producing organization or key creative personnel. Do not exceed ten 8½ x 11 pages or 2MB. You may provide Supporting Information by (1) providing a single URL linking to Supporting Information hosted online, (2) uploading a single PDF file of Supporting Information in the next field, or (3) ing a single PDF file to gavelawards@americanbar.org. Please select a Support Information sharing option: I will provide a single URL linking to Supporting Information hosted online. I will upload a single PDF file of Supporting Information. I will a single PDF file of Supporting Information. I will not provide any Supporting Information for this entry. Please upload Supporting Information, not exceeding ten 8½ x 11 pages, or 2 MB: Choose File No file chosen 11/14

12 Please provide a single URL linking to Supporting Information hosted online: Submitting Actual Entries *How are you planning to submit the actual entry to the American Bar Association? I plan to supply a URL to link to the actual entry online. (Opportunity to enter URL will appear in next question.) I will upload a single file of the actual entry (not exceeding 10 MB) I plan to ship a hard copy of the actual entry to the ABA. (Instructions will be included in the confirmation received upon submission of this form.) *ONLINE ENTRY SUBMISSION You are responsible for hosting your media online. List URLs below (e.g., to either a PDF or a web page). One URL preferred, no more than three permitted: URL 1: URL 2: URL 3: If your online entry is password 12/14

13 protected, include password: *ONLINE ENTRY SUBMISSION Please upload a single file of the actual entry (not exceeding 10 MB): Choose File No file chosen Entry Certification *I certify that, to the best of my knowledge, the information included in this submission for the 2015 Gavel Awards accurately and truthfully represents the entry, its date of production or public release (MUST be during 2014), its impact and outreach; and that we have listed all co producers or copublishers of this entry. Should our entry be selected as a finalist or awardee, I also grant the American Bar Association the non exclusive right to use, reproduce, or disseminate by any communications medium elements and excerpts from our entry and related materials for educational and promotional purposes and to archive one set of entry materials. I certify, as noted. In addition to the award contact, who else would you like to receive a confirmation of your submission (indicate addresses)? 13/14

14 1: 2: PLEASE NOTE: The next screen will display your entry number. We urge you to note the entry number, or print the following screen, as it is necessary to reference for any communications with the ABA, including payment of the entry fee. 14/14

# Answer Bar Response % 1 (01) Books 1 100% 2 (02) Magazines 0 0% 3 (03) Newspapers 0 0% 4 (04) Commentary 0 0% 5 (05) Drama and Literature 0 0%

# Answer Bar Response % 1 (01) Books 1 100% 2 (02) Magazines 0 0% 3 (03) Newspapers 0 0% 4 (04) Commentary 0 0% 5 (05) Drama and Literature 0 0% Initial Report Last Modified: 01/06/2015 1. *AWARD CATEGORY Please select the award category you are entering (select one only): 1 (01) Books 1 100% 2 (02) Magazines 0 0% 3 (03) Newspapers 0 0% 4 (04)

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