Journalism Prize Entry Form

• Journalism Prize 2012 Entry Form
• Rules
• Values of the Orwell Prize

Journalists (or their editors) are each required to enter between four and six articles, which may be taken from different organisations. Fields marked with a red asterisk are compulsory. You must also email the disclaimer at the foot of the form to the Prize.

Please note: the Orwell Prize for Journalism is SELF-NOMINATING – journalists (or one of their editors) must enter their own work for the Prize using this form.

If you know of a journalist who should enter, please encourage them to do so or email the Prize.

After completing the form below, you should receive a ‘receipt of entry’ email within a few days. If you do not, please email the Prize.

Journalist's name *

Journalist's email address *

Journalist's phone number

Link with UK or Ireland *

Postal address

Article URL (min 4, max 6) *

Publication/Organisation *

Date (2011)*

Publication contact name *

Publication contact email

Publication address

Publication contact phone

Disclaimer

I understand that in order to enter the Orwell Prize for Journalism 2012, I must copy the passage below and paste it into an email, sent from the 'Journalist's email address' I have listed above, to gavin.freeguard@mediastandardstrust.org

I declare that this work, submitted for consideration for the Orwell Prize for Journalism 2012, is wholly or substantially my own, and does not contain any plagiarised or unacknowledged material.

Please type in the letters below *