The EU Prize for Journalism 2021 - Application Form

*Submission Categories

Submission Categories (you can only apply for one Prize category)

*Mr/Mrs/Ms

*First Name

*Surname

*Date of Birth

*Nationality

*Telephone number

*E-mail

*Submitted work title

Co-author(s), if any

*Date of Publication

*Published in (name of the media)

Link to online entry (if available)

*Motivation(please indicate why this submission meets the criteria of the EU Prize for Journalism: +/- 500 words)

I certify that the information contained on this Application Form is accurate and true. I give my consent to the processing, transfer and disclosure of all information submitted by me during the selection process and throughout any subsequent periods. I accept that the European Union reserves the right to use entries in presentation materials and with the media, as well as for entries to be reproduced indefinitely in any form for the purpose of promoting the EU Journalism Prize and other activities funded by the European Union.

*Please tick the box

Agree

*Date

Statement from the Publisher/Editor

*Name of Publication

*Name and Position of the Publisher/Editor

I accept that the applicant has submitted the entry presented with this Application Form for the “EU Prize for Journalism 2022”. I certify that I am in a position to pass all rights for this publication and accept that the EU reserves the rights to use this entry and related materials, for the purposes, stated above.

*Please attach signed statement from the Publisher/Editor here

For the category of the Best Student Work: please attach a student verification letter

*Application form is filled out legibly and signed with a date clearly indicated

Agree

*Relevant annexes are attached to Application form

Agree

Attachment 1

Attachment 2

Attachment 3

The EU Prize for Journalism – Application Form

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