Short Film Entry Form - Academy of Motion Picture Arts and Sciences
Short Film Entry Form - Academy of Motion Picture Arts and Sciences
Short Film Entry Form - Academy of Motion Picture Arts and Sciences
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85th Annual <strong>Academy</strong> Awards<br />
SHORT FILM ENTRY FORM<br />
ALL INFORMATION SUPPLIED ON YOUR ENTRY FORM IS FINAL. This information will be used for <strong>of</strong>ficial<br />
Nominations <strong>and</strong> Awards announcements. Please make certain all people <strong>and</strong> entities who should be credited are<br />
accurately represented on the form. The <strong>Academy</strong> will not make changes or corrections.<br />
FILM TITLE __________________________________________________________________________________<br />
Choose ONE <strong>of</strong> the following categories: Live Action <strong>Short</strong> <strong>Film</strong> Animated <strong>Short</strong> <strong>Film</strong><br />
Month/Year completed ____________Is this a student film? No Yes<br />
If Yes, name <strong>of</strong> school ______________<br />
Has this motion picture had a non-theatrical exhibition (including but not limited to broadcast <strong>and</strong> cable television,<br />
home video sales <strong>and</strong> Internet transmission)? No Yes If yes, date first shown _______________________<br />
Channel (PBS, HBO, Discovery, KCBS, www., etc.) ________________City ________________________________<br />
QUALIFYING COMMERCIAL EXHIBITION *<br />
Theater _____________________________________________Dates ____________________________________<br />
Qualifying format* ________________________________________Was admission charged? No Yes<br />
OR<br />
QUALIFYING AWARD AT COMPETITIVE FILM FESTIVAL*<br />
Festival _____________________________________________________________Date ____________________<br />
Award received (list only ONE award from the qualifying list) _____________________________________________<br />
Production Company___________________________________________________________________________<br />
Address _____________________________________________________________________________________<br />
City_______________________________State __________Country____________________Post code_________<br />
Phone _______________________________<br />
e-mail_____________________________________<br />
Distributor (if any) _____________________________________________________________________________<br />
Address _____________________________________________________________________________________<br />
City_____________________________State __________Country____________________Post code___________<br />
Phone __________________________<br />
e-mail_____________________________________<br />
Name <strong>of</strong> copyright holder _______________________________________________________________________<br />
Copyright holder contacts Phone ______________________<br />
e-mail__________________________<br />
TECHNICAL INFORMATION<br />
<strong>Form</strong>at 35mm 70mm<br />
DCP* Stereoscopic<br />
Aspect Ratio (submission must adhere to one <strong>of</strong> the below)<br />
<strong>Film</strong> 1.33 1.66 1.75 1.85 2.35<br />
DCP 4x3 16x9 Scope<br />
Sound<br />
Mono Dolby A Dolby SR Dolby SRD DTS<br />
Other (please specify) ______________________<br />
Running Time (minutes) ________________________<br />
Color Color Black & White Both<br />
* See Special Rules for <strong>Short</strong> <strong>Film</strong> award
For Award purposes, list the individual most directly responsible for the concept <strong>and</strong> creative execution <strong>of</strong> the motion<br />
picture.*<br />
Name _____________________________________________________________ Screen Credit _______________________<br />
Address ______________________________________________________________________________________________<br />
City_____________________________________State ___________Country_____________________Post code___________<br />
Phone ___________________________<br />
e-mail _______________________________________<br />
If ONE additional individual has been directly <strong>and</strong> substantially involved in creative decisions for this motion picture, a<br />
second name may be listed. Listing more than a total <strong>of</strong> two individuals may disqualify your entry. If no second<br />
individual is eligible for Award consideration, please state “None.”<br />
Name _____________________________________________________________ Screen Credit _______________________<br />
Address ______________________________________________________________________________________________<br />
City_____________________________________State ___________Country_____________________Post code___________<br />
Phone ___________________________<br />
e-mail _______________________________________<br />
The <strong>Short</strong> <strong>Film</strong> <strong>and</strong> Feature Animation Branch encourages the widest possible distribution <strong>of</strong> short films. <strong>Short</strong>listed films<br />
must have the necessary clearances for commercial theatrical exhibition. Festival clearances are not sufficient.<br />
Everyone with a DIRECTOR or PRODUCER credit on the motion picture <strong>and</strong> the COPYRIGHT HOLDER must read the<br />
following <strong>and</strong> sign below <strong>and</strong> agree that the name(s) listed above are the person(s) most responsible for the concept<br />
<strong>and</strong> creative execution <strong>of</strong> the motion picture for <strong>Academy</strong> Award purposes.<br />
• I have read the attached rules governing <strong>Academy</strong> Awards submission for short films <strong>and</strong> accept them.<br />
• I certify that all the information provided on this <strong>Entry</strong> <strong>Form</strong> is correct.<br />
• I underst<strong>and</strong>, that according to <strong>Academy</strong> rules, each film print or copy submitted to the <strong>Academy</strong> will be held until the<br />
voting process is completed <strong>and</strong> then, if the motion picture is not nominated, will be returned to the filmmaker. I further<br />
underst<strong>and</strong> that if the picture receives a nomination, the <strong>Academy</strong> will retain a print for its archives, <strong>and</strong> my permission is<br />
hereby given for the <strong>Academy</strong> to select, tape-transfer, <strong>and</strong> broadcast an excerpt from the picture on the annual Awards<br />
presentation should it choose to do so.<br />
• I agree that, for all international shipping, if a shipping account number is provided by the submitter, the <strong>Academy</strong> is<br />
absolved <strong>of</strong> all financial responsibility if the print is lost or damaged in shipping.<br />
• I agree to allow the <strong>Academy</strong> to stream my film for voting purposes<br />
• I agree that all questions <strong>of</strong> eligibility <strong>and</strong> rules interpretation will be resolved by the appropriate <strong>Academy</strong> committee.<br />
Print out this page, sign <strong>and</strong> mail separately. If necessary for additional signatures, copies <strong>of</strong> this page, with Award-eligible<br />
name(s) listed at the top, may be made <strong>and</strong> attached.<br />
Name ___________________________________________<br />
Signature _________________________________________<br />
Credit _________________________Date_______________<br />
Name ___________________________________________<br />
Signature _________________________________________<br />
Credit _________________________Date_______________<br />
Name ___________________________________________<br />
Signature _________________________________________<br />
Credit _________________________Date_______________<br />
Name ___________________________________________<br />
Signature _________________________________________<br />
Credit _________________________Date_______________<br />
Name ___________________________________________<br />
Signature _________________________________________<br />
Credit _________________________Date_______________<br />
Name ___________________________________________<br />
Signature _________________________________________<br />
Copyright Holder___________ Date______________<br />
* See Special Rules for <strong>Short</strong> <strong>Film</strong> awards
SYNOPSIS:<br />
A synopsis should convey the film’s story in two to three sentences. It should include the protagonist, antagonist <strong>and</strong> a significant<br />
conflict. It may also indicate setting, time period <strong>and</strong> overall tone (i.e., violent, romantic, comic, horrific, etc.).<br />
Synopsis:<br />
RETURN PRINT(S) TO<br />
(No Post Office Boxes)<br />
Name _________________________________________<br />
Address _______________________________________<br />
Address _______________________________________<br />
City ___________________________________________<br />
State ________Post code _________Country _________<br />
Phone ____________________ Fax _________________<br />
e-mail _________________________________________<br />
International shipping use FedEx UPS DHL<br />
Account number (for customs/duty charges)____________
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