Peggy Ezekiel Awards Entry Form
Submission deadline for nomination and entry form is November 2. After this date please email Kathe DeVault at k-devault@onu.edu to see if space still available.

All panels must be delivered by 9:30 a.m. November 10. Submissions not chosen for Board choice must be picked up at the end of the day on November 10 by 5:30 PM.

Ezekiel Award submissions must have been produced within the past year between 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 eligible 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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