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52 nd Chicago International Film Festival Television Awards Official Entry Form Original Title: English Title: Category Name: Category #: Running Time (in minutes): Date Completed: Country of Origin: Language: Producer: Director: Editor: Production Information Television Productions Only Writer: Station and original air date: Distributor: Television Commercials Only Ad Agency: Client: Product: Creative Director: Video Format Indicate the format of the DVD you are submitting for preview and judging purposes. Please encode disc as Region 1 or 0.! NTSC! PAL URL (online productions only):

Entrant Information All correspondence and any award will be sent to the address below. Please do not use a post office box. Name: Company: Address: City: ZIP/Postal Code: Telephone: Email: State/Province: Country: Fax: I hereby state that I am authorized to submit this production to the Chicago International Film Festival Television Awards and I accept the rules stated in the Competition s regulations. SIGNED: Entry Fee: $! Check or money order (payable to Cinema/Chicago) Credit Card:! VISA! MasterCard! American Express Card Number: Expiration Date: CVV: Name of Cardholder: Signature of Cardholder: Award Inscription If your production wins an award, we would like you to choose the award inscription. Please type or print legibly no more than four names and/or companies you would like to appear on the award inscription. The title of the production and the category will automatically appear on the award. The Chicago International Film Festival Television Awards is not responsible for incorrect spelling if names are illegible. If no information is listed below, only the title of the production and the category will appear on the award. 1. 2. 3. 4. SEND TO: Entry Coordinator 30 E. Adams St, Suite 800 Chicago, IL 60603-5628 Phone: 312.683.0121 Fax: 312.683.0122 Email: entries@chicagofilmfestival.com

52 nd Chicago International Film Festival Television Awards A) Requirements Presented by Cinema/Chicago and the Chicago International Film Festival GUIDELINES & REGULATIONS 1. Entries must be postmarked no later than March 11, 2015 2. Entries must be submitted on DVD. Do not send film prints, master tapes, or other originals. 3. Submit one completed entry form (or online entry confirmation) and one copy of your production for each submission. Each entry must be on a separate DVD (entries to the TV Series or Commercial Campaign categories may have more than one episode or commercial per disc.) 4. Entries can only be submitted to one category. Submitting the same production to multiple categories will require a separate entry form and fee for each category. 5. Each entry must be accompanied by the appropriate submission fee. Entry fees are nonrefundable. 6. International (outside the US) checks and money orders are not accepted. Entry fees must be paid by credit card. International bank transfers are not accepted. 7. Entry forms and payment will not be processed without an accompanying DVD. DVDs will not be considered for competition unless accompanied by necessary fees and entry forms. 8. Entrant s name and title of production must be on each case or DVD. 9. Submission DVDs will not be returned. 10. The Chicago International Film Festival Television Awards is not responsible for incorrect wording in publications or on awards if the entry form is incorrect or illegible. B) Eligibility 1. Television productions and commercials that have aired or are scheduled to air on television or internet-based television in 2015 and 2016 are eligible. Entries for internet-based television programs or commercials must include the URL at which they can be viewed. 2. Entries may be submitted by the director, producer, agency, distributor, or client. In categories of Special Achievement, entries may be submitted by a crew member who worked on the production. 3. Entrant confirms and warrants required legal authority to submit the entry into competition and to use all music, images, and content in the entry. Entrant will allow usage of clips from the entry for promotional use on television, radio, in print, and at the Chicago International Film Festival Television Awards. 4. All entries must be in English or contain English subtitles.

C) Shipping 1. The cost of shipping an entry to the competition must be paid by the entrant. Collect or COD shipments will not be accepted. 2. All international entries must be sent Free Domicile to the competition office with all transportation charges, duties, and taxes pre-paid by shipper. Any brokerage fees charged to the Chicago International Film Festival Television Awards will be refused. Please be sure to include all the proper customs documentation as required by your shipping service. D) Awards Gold and Silver Hugos are the highest honors presented by the Chicago International Film Festival Television Awards are awarded only to outstanding productions that achieve effective communications through technical excellence and creativity. Gold and Silver Plaques are awarded to entries of superior quality that are among the best in their category. Certificates of Merit are awarded to productions that the jury feels contain strengths that deserve recognition. E) Judging The Chicago International Film Festival Television Awards mission is to recognize the enormous technical and creative energy behind television commercials and productions and to highlight their importance in communications. Each year, we assemble panels of distinguished media professionals to judge our competitive categories. To ensure fully qualified appraisals, we select judges who are familiar with the industry and intended audience of each entry. All aspects of the production's technical execution are evaluated for professionalism, creativity, and effectiveness in achieving its goals. The production budget is carefully considered; a resourceful use of limited funds is highly valued by our judges. Entries are judged against others in the same category, but judges have the right to recommend that no award be given in a category if entries do not meet the award criteria. In the event of a tie, two awards may be presented. Our annual list of winners is circulated around the world to distributors, educators, potential clients, and the press to ensure winners receive maximum recognition. F) Screenings For television commercial categories, entrants permit the Chicago International Film Festival Television Awards to show selected entries at the 2016 Chicago International Film Festival Television Awards Ceremony, the 2016 Chicago International Film Festival, and on PBS WTTW-11 for public judging to determine the winner of the Audience Choice Award. For television production categories, entrants permit clips of selected winners to be shown at the 2016 Chicago International Film Festival Television Awards Ceremony. The 2016 Chicago International Film Festival Television Awards 30 E. Adams St., Ste 800 Chicago, IL 60603-5628 Phone: 312.683.0121 Fax: 312.683.0122 Email: entries@chicagofilmfestival.com

COMPETITIVE CATEGORIES Please select the category that is most appropriate for your production Television Productions Individual Television Programs P01: Animated Program P02: Children s Program P03: Comedy Program P04: Daytime Drama Program P05: Documentary: Arts/Humanities P06: Documentary: History/Biography P07: Documentary: Science/Nature P08: Documentary: Social/Political P09: Dramatic Program P10: Educational Program Adult Audience P11: Educational Program Child Audience P12: Investigative Reporting/News Documentary P13: Main Title Sequence P14: Music Video P15: Special Performance Event P16: Sporting Event P17: Student-Produced Program P18: Travel/Tourism Program Television Series P19: Animated Series P20: Children s Series P21: Comedy Series P22: Dramatic Series P23: Educational/Documentary Series P24: Mini-Series P25: News Series P26: Reality Series P27: Student-Produced Series P28: Talk Show Series P29: Travel Series

Online Television P30: Online Television Program P31: Online Television Series Television Commercials Commercial Spots C01: Apparel C02: Automotive C03: Automobile Retailer C04: Banking/Financial C05: Beverages (Alcoholic) C06: Beverages (Non-alcoholic) C07: Business Products/Services C08: Cellular Phone/Service C09: Cosmetics/Personal Care Products C10: Entertainment/Leisure C11: Fast Food C12: Food Products C13: Health Care C14: Home Electronics C15: Household Appliances/Furnishings C16: Household Products C17: Infomercial C18: Institutional/Corporate Identity C19: Insurance C20: Long Form Commercial C21: Media/Publications C22: Network Promotion C23: Non-profit/Fundraising C24: Online/Web services C25: Pharmaceutical C26: Political C27: Public Service Announcement C28: Restaurant C29: Retail C30: Sporting Event/Athletics C31: Technology C32: Travel/Tourism

C33: Other Products C34: Other Services Online/Viral Commercials C35: Online Spot C36: Online Campaign Commercial Campaign C37: Commercial Campaign C38: PSA Campaign Special Achievement (Television Programs and Commercials) SA01: Acting SA02: Animation SA03: Art Direction/Production Design SA04: Cinematography SA05: Direction SA06: Editing SA07: Music OriginalSA08: Sound Design SA09: Visual Effects SA10: Writing Entry Fees Television Productions (P01-P18 and P30) 30 minutes and under: $100 31-60 minutes: $125 61 minutes and over: $150 Television Series (P19-P29 and P31) At least two episodes must be submitted All Entries: $250

Special Achievement (SA01-SA10) Television Production Series and Commercial Campaigns not applicable. Individual commercials and productions only, please. 30 minutes and under: $100 31-60 minutes: $125 61 minutes and over: $150 Commercials (C01-C36) 30 seconds and under: $150 Over 30 seconds: $200 Commercial Campaign (C36-C38) All Campaigns: $250