The Grantham Prize for Environmental Journalism

Current Prize Winners Past Winners Grantham Prize Seminar About the Prize Entry Information

Information for Entrants How to Enter Acceptable Formats 2010 Entry Form Permission Form Entry Checklist Prize FAQs

Press Releases Contact Grantham Prize: Celebrating 5 years 2006 - 2010

2010 Grantham Prize Entry Form

All entries must be accompanied by an official entry form. Please enter all required information below. Enter "N/A" in any form fields that do not apply for your entry. Once completed, verify the information and print the form. Entry forms must include a supervisor's signature for the Attesting Statement. A completed, signed entry form must be included with all other required materials in the entry package, as specified in the entry checklist.

* Text fields marked in red are required.

A. Entry Information

Title of Entry

News Outlet where Entry originally appeared or aired

Date(s) published or aired

Medium If this entry appeared in more than one format (eg. both radio and web), indicate the primary format for Grantham Prize consideration. Other submitted formats will be considered supplementary material.

Newspaper
Magazine
Book
Television
Radio
Web

Entrant URLIf applicable (with username and password, also if needed)

B. Nominee(s)

Primary Entrant and Contact

Entrant Name First

Entrant Name Last

Entrant Title

Entrant Affiliation

Entrant Work Phone Number

Entrant Cell Phone Number

Entrant Email

Entrant Street

Entrant Street 2

City

State or Province

Zip

Country

Additional Entrants
List additional names with title, affiliation, and email below or on a separate sheet if necessary. Include all contributors who would receive recognition if the entry were to be selected as a finalist or winner.

C. Nominator

If other than nominee. If an entrant is nominating him/herself, please enter “Self.”

Nominator Name First

Nominator Name Last

Nominator Title

Nominator Affiliation

Nominator Phone NumberPlease indicate if work, cell, or other.

Nominator Email

Nominator Street

Nominator Street 2

City

State or Province

Zip

Country

D. Person Attesting for Nominee and his/her Attesting Statement

Such as nominee’s supervisor, editor, or producer. For freelancers, the attesting signature should come from a senior editor of the outlet that distributed the work.

Attestor Name First

Attestor Name Last

Attestor Title

Attestor Affiliation

Attestor Phone NumberPlease indicate if work, cell, or other.

Attestor Email

Attestor Street

Attestor Street 2

City

State or Province

Zip

Country

How did you learn about the Grantham Prize for Excellence in Reporting on the Environment?

Attesting Statement: “I certify that the nominee is the proper author/editor of the nominated entry.”

Signature:

_____________________________________________________________

Date:____________________________

Please solve the CAPTCHA, to verify that you are a real person. The answer is case-sensitive. The next page will let you review your information, make any last minute additions or changes, and take you to a printable version of the form.