· This entry is in the following category (CHECK ONE):
___Best College Radio News or Public Affairs Anchor or Host
___Best College Radio Sports Reporting or Play-By-Play Announcer or Host
___Best College Radio On-Air Personality
___ Best Original Public Service Announcement For The March of Dimes (:60 or :30) (Entering this category signifies your agreement to grant The March of Dimes ownership rights to your PSA entry at no cost if named the winner.)
___Best College Radio Editorial
___Best College Radio Commercial
___Best College Radio Documentary
· Full-time undergraduate student(s) nominated by this entry for a College AIR Award (please provide YEAR-ROUND contact information only):
NAME(s)_________________________________________________________
SCHOOL_________________________________________________________
EMAIL ADDRESS _________________________________________________
PHONE NUMBER__________________________________________________
· Credits for this entry (fill in all that apply)
Title of entry______________________________________________________
Producer__________________________________________________________
Writer(s)_________________________________________________________
Engineer__________________________________________________________
Voice(s)__________________________________________________________
· This entry consists of original work by the undersigned, created between 10/2/07 and 10/1/08 for broadcast, webcast, podcast or classroom use.
· The undersigned is(are) current full time undergraduate student(s).
PRINTED name of entrant(s)__________________________________________
Signature(s):_______________________________________________________
Date of signature____________________________________________________
Address:__________________________________________________________
_________________________________________________________________
Phone: (if different from above)________________________________________
Email: (if different from above)_________________________________________
· FACULTY ADVISOR COMPLETES THIS SECTION: The above is a current full time undergraduate student. I have ascertained that all above statements are true.
PRINTED name of faculty advisor______________________________________
Phone:____________________________________________________________
Email:____________________________________________________________
Signature:_________________________________________________________
Date of signature:___________________________________________________
Incomplete entries disqualified. Fee
per entry $20. Each entry requires separate form. Deadline
10/1/08. Send form, entry and check payable to
March of Dimes Southeastern PA to – College AIR
Awards, March of Dimes, 1019 W. 9th Ave., King of
Prussia, Pa. 19406. STRONGLY RECOMMENDED: Review
complete rules at www.airawards.org.