MULTI-MEDIA AWARD

(1)  Nomination submitted by: Name:_________________________________________________________________________

Address:________________________________________________________________ County:_____________________________

Phone:____________________________ Fax:______________________ E-mail:_________________________________________

(2)  Name of Project:___________________________________________________________________________________________

(3)  Medium:___________________________________________________________________________________________________

(4)  Author(s):__________________________________________________________________________________________________

Address(es):___________________________________________________________________________________________________

(5)  Description:______________________________________________________________________________________________

(6)  If applicable, Dates Showing:_____________________________________________________________________________

(7)  Location:__________________________________________________________________________________________________

Please attach a statement of support for your entry. Include a copy of your work abiding by the following criteria: Poetry - A copy of the poem, poetry book or collection.

Music - A copy of the words, along with the taped version of the same.

Historical Play - A copy of the script. (Optional - include a video of the play).

Historical Video - This could be about a person, place or thing, craft, building, reunion, etc.

Oral History - A copy of the tape recorded history or video of the same, or a written copy of the interview(s).

Creative pamphlets, booklets, postcards, quilts, framed pictures, family traditions, etc. Any other type of multimedia entry should be represented at the entrant's discretion.

NOTE: NO ENTRY CAN BE RETURNED AND WILL BELONG TO THE NCSH, INC., WITH COPYRIGHTS HELD BY THE LEGAL OWNER. LARGE ITEMS ONLY, SUCH AS QUILTS OR FURNITURE, ETC., SHOULD BE PHOTOGRAPHED RATHER THAN SENT FOR JUDGING. SHOULD THE ENTRY BE A WINNER, HOWEVER, THE ENTRANT AND AWARD-WINNING ITEM SHOULD BE PRESENT AT THE AWARD'S BANQUET...THE ITEM TO BE USED FOR DISPLAY PURPOSES ONLY. THESE TYPES OF ITEMS WILL BELONG TO THE ENTRANT.

NCSH, Inc., PO Box 93, Sherrills Ford, NC 28673-0093

ENTRY DEADLINE: JUNE 30