Peggy Ezekiel Awards Entry Form
Submission deadline for nomination and entry form is October 10th. After this date please email Melanie Mortimore at mortimm@miamioh.edu to see if space still available.

All submissions must be delivered in person to the committee on either Friday October 14th, or by the morning of October 15.

All panels must be delivered by 9:30 a.m. Submissions not chosen to be displayed at National must be picked up at the end of the day on October 15.

Ezekiel Award submissions must have been produced within the past year from June 1 - May 31 .

First Name
Your answer
Last Name
Your answer
Street Address
Your answer
State
Your answer
City
Your answer
Zip Code
Your answer
Email Address
Your answer
Phone
(123) 456-7890
Your answer
Work Entered
Name of Show
Your answer
Producing Organization
Your answer
Production Dates
Your answer
Budget
Your answer
Award Class
Required
Award Category
Check One
Required
Permission
Do you give permission to the USITT Ohio Valley Section to exhibit this work which may include digital storage of display images, displaying at the National conference and usage for promotion of the section in print, online, and other digital formats. By stating "yes" you agree that you have gained any needed permissions for the use of all work presented in your submission.
Required
National USITT membership number
To be eligable for Board Choice, you must be member of National. If you have your membership number please add.
National USITT Membership Number
If National USITT member, please enter your number below.
Your answer
Entry Fee
Entry fee is included with your conference registration. To be eligible to exhibit you must register for the Fall Conference.
Guidelines
**USITT/ Ohio Valley Section members in good standing may enter their own work for an Ezekiel Award Exhibit

**A Nominator who is a member of good standing within the USITT/ Ohio Valley Section may nominate for an Ezekiel Award any work by a member of USITT/ Ohio Valley Section or work by a non-member produced within the USITT/ Ohio Valley Section

Please read the informational page for more specifics, including directions for the physical presentation and suggested content.

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