Media Contest Entry Form Step 1: Review the rules Review the rules (PDF). This media contest is designed to increase teen on-the-job safety awareness through creative videos or graphic designs that would catch the attention of high school teens and convince them to take the O[yes] online Safety Awareness Training as a great way to learn how to stay safe and healthy on the job. By entering this contest, entrants agree to abide by all rules. By entering this contest, entrants agree to abide by the rules.I have read and understand the contest rules* Yes No For help and information about the contest, contact: Heather Studnick SAIF Corporation 562-373-8625 heastu@saif.com Step 2: Review the media checklist Before you submit your project, you can use this checklist (PDF) to make sure you have met all of the requirements.I have read the checklist and my project meets all requirements* Yes No Which category are you entering in? Video Graphic Design For help and information about the contest, contact: Heather Studnick SAIF Corporation 562-373-8625 heastu@saif.com Step 3: Fill out the entry form Fill out the entry form below with your submission. All entries must be postmarked, electronically uploaded, or hand delivered no later than 5:00 p.m. on Friday, February 21, 2025. The deadline for submission is 5:00 p.m. on Friday, February 21, 2025. Title of work Title of productionGraphic Title*Video name*Video length*How will you submit your video?* Upload Link (YouTube or Vimeo only) Upload your graphic (max. 75mb)* Drop files here or Select files Accepted file types: jpg, gif, png, pdf, tiff, jpeg, Max. file size: 75 MB, Max. files: 1. Upload your video (max. 400mb) Drop files here or Select files Accepted file types: mp4, avi, wmv, mov, flv, mpg, m2t, avchd, f4v, webm, mpeg2, , Max. file size: 512 MB, Max. files: 1. Note: If you experience problems uploading your video directly to this form, please try uploading it to YouTube or Vimeo and providing a link by selecting the “Link” option above.Video link* Primary contact (If this was a team effort, list team members in “Project participant” section below.)Student's name*Age*Grade*Select9101112Phone number*Email* Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Project participants A parent or guardian’s signature is required for participants under 18 years old. Download the permission form.List all video participantsNameAgeGradePhone numberEmail Upload parent/guardian signatures for each participant under the age of 18 Drop files here or Select files Accepted file types: pdf, jpg, png, tiff, Max. file size: 512 MB. School/club and teacher/advisor information (For the purpose of awarding matching funds)Are you submitting on behalf of a high school club or organization?* Yes No If yes, what is the name of that club or organization?*School name*Teacher/advisor’s name*Teacher/advisor’s phone*Teacher/advisor’s email* School address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Copyright clearances and information – VERY IMPORTANTList all audio and visual sources (music, images, art, video footage, etc.) Upload permission signatures or documentation for all sources listed above Drop files here or Select files Accepted file types: pdf, jpg, png, tiff, Max. file size: 512 MB. How did you hear about the contest?Select all that apply Teacher Friend Facebook Club or organization O[yes] website Poster Other If other, please explain how you heard about the contestAuthorizationI authorize use of my video for any educational purpose and in any media. I understand that I may be contacted by the media to discuss this contest.* Yes No
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