*Name: *Affiliation with Production: *Daytime Phone Number: *Evening Phone Number: *

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BEST FEATURE FILM This award recognizes the best overall feature length film. Submissions will be assessed based on the following criteria: emotional conveyance, characters and casting, screenplay, cinematography, editing, directing, overall story and impression. Submissions to this category must be over 70 minutes in duration. All genres of film (documentary, animated or live action) are accepted. At least 50% of the film must have been shot in Northern Ontario to be eligible for consideration, and the film must have screened to a public audience during the Eligibility Period. BEST SHORT/MID-LENGTH FILM This award recognizes excellence in cinematography, videography, and screenwriting in a short/mid-length film. Submissions will be assessed based on the following criteria: emotional conveyance, characters and casting, screenplay, cinematography, editing, directing, overall story and impression. Submissions to this category must be 1 to 69 minutes in duration and may fit any one of the following genres: drama, comedy, experimental, animation, sci-fi, horror or documentary. All short films must have been screened to a public audience during the Eligibility Period. At least 50% of the film must have been shot in Northern Ontario, and the film s director must meet the residency eligibility requirements. BEST DIRECTOR This award recognizes excellence in film direction. Submissions will be assessed based on the following criteria: emotional conveyance, overall vision, cast performances, technical ability, and overall impression. The director must meet residency requirements. The award goes to the individual. BEST SCREENWRITER This award recognizes excellence in screenwriting. Submissions will be assessed on the following criteria: plot, dialogue, pacing and rhythm, format and structure, overall story and impression, emotional conveyance and character development. The screenplay must have been completed during the Eligibility Period. On collaborations, at least one of the screenwriters must meet residency requirements. Screenplays must be complete and conform to industry standard. The award will only honour the screenwriter(s) and collaborator(s) who meet the Northern Ontario residency requirements. BEST PERFORMANCE BY AN ACTOR IN A NORTHERN ONTARIO PRODUCTION This award recognizes excellence and skill in performance in all lengths, categories and genres of film. At least 50% of the film must have been shot in Northern Ontario. The award goes to the individual. *If you are submitting this entry for someone else please complete the following section with your contact information. If you are submitting this entry for yourself please skip to Entrant Contact Information Section. *Name: *Affiliation with Production: *Daytime Phone Number: *Evening Phone Number: *E-mail: 1

ENTRANT CONTACT INFORMATION Please choose one person to be the primary contact. This is the person to whom all follow-up regarding submission will be addressed. Entrant s Name: Affiliation with Production: Daytime Phone Number: Evening Phone Number: Address: City: Province: Postal Code: E-mail: How did you hear about the Northern Ontario Music and Film Awards Conference? PROJECT INFORMATION Please fill out all information applicable for each project submitted: Title of Film: Date Completed: Running Time: Number of Pages (Screenwriter Category Submissions Only): Colour: Colour Black & White Original Language: English French Other No Dialogue Version Submitted: English French No Dialogue *Subtitled *If yes, indicate language of subtitles: If Script is an Adaptation, Original Work it is based on: Producer: Director: Screenwriter: Cinematographer: Editor (Film): Editor (Sound): Cast: 2

CATEGORY *Please check one category box for this entry BEST FEATURE FILM: The following information is needed for the Producer only. BEST SHORT/MID-LENGTH FILM: The following information is needed for the Director only. BEST DIRECTOR: The following information is needed for the Director only. BEST SCREENWRITER: The following information is needed for the Screenwriter only. BEST PERFORMANCE BY AN ACTOR IN A NORTHERN ONTARIO PRODUCTION: The following information is needed for the Actor only. RESIDENCY INFORMATION * In a collaboration between two or more individuals, a minimum of 50% of the individuals must meet the residency requirements in order to qualify. Please provide this information for all members of a collaboration. A) Name of Entrant: Please choose ONE of the following three to confirm residency requirements: Place of Birth: Place of Residence (town and province) for qualifying consecutive twenty-four (24) month period between January 1, 2013 and December 31, 2014: 3. If you were a resident of Northern Ontario for a period of at least ten (10) consecutive years, please provide the following information: a) The time period during which you were a resident of Northern Ontario: Your city/town of residence during this period: For collaborations: B) Name: C) Name: 3

D) Name: AUTHORIZATION I have read, understood and complied with all eligibility requirements. I represent and warrant that: This film or screenplay is not subject to and/or threatened by any litigation; I own, or have licenses to, all copyright for material submitted. I own the production that I am submitting or am authorized in writing by the owner to submit this entry; 3. Should I be selected as a nominee in the Northern Ontario Music and Film Awards Program, I warrant that all rights necessary to publicly exhibit my production or broadcast my production within the context of the Northern Ontario Music and Film Awards Program and its promotion are assigned to Music and Film in Motion; 4. I grant to Music and Film in Motion the right to use, publicly exhibit, and display the enclosed photos, written materials and any and all information or materials submitted by me within the context of the Northern Ontario Music and Film Awards Program and its promotion; 5. I waive and release any claims that I may have against MFM, and any of their respective licensees, successors, assigns, heirs or representatives based upon or arising from any uses of the materials submitted by me, including without limitation, any moral rights of whatsoever description, any claims for invasion of privacy, violation of the right of publicity, defamation, and copyright infringement or for any fees for such use; 6. I certify that the product I have submitted was completed between January 1, 2013 and December 31, 2014; and 7. I certify that all of the statements in this document, as well as the information contained in all attached materials and documents, are exact, true and complete. Entrant s Name: Signature: Date: 4

ENTRY FEES An entry fee of $15 per submission, HST not included, must accompany all entries. Method of payment: Cheque Money Order VISA MasterCard American Express Credit Card Number: Expiry Date: Cardholder Name: Cardholder Signature: *Do not send cash in the mail. **Cheques and money orders must be made payable to Cultural Industries Ontario North. SUBMISSION CHECK LIST Please read all information carefully. Incomplete submissions will not be accepted. For more submission requirements and guidelines, please refer to the Deadlines, Regulations & General Information document. If submitting for any of the film categories you must include the following with your entry: or Six (6) DVD copies of the film for consideration. *Vimeo link to film for consideration. *One (1) brief synopsis of the film (no more than 50 words) to be used for promotional purposes. *One (1) brief biography for the entrant(s) (no more than 50 words). *One (1) photo of entrant(s) to be used for promotional purposes. JPEG files are preferred. An entry fee of $15, HST not included, must accompany all entries. All fees are nonrefundable, even if the entrant is disqualified or not chosen as a nominee. *Two (2) or more stills from the film or on location stills. To be used for promotional purposes. JPEG files are preferred. *FEATURE FILM OR SHORT/MID-LENGTH FILM AWARDS ONLY Trailer or clip (no more than 30 seconds). *These items may be submitted on disc or by e-mail to info@cionorth.ca. The disc must be labeled with entrant s name. 5