Media Contest Entry Form

"*" indicates required fields

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 Oregon OSHA Heat Illness Prevention Training as a great way to learn how to stay safe and healthy on the job when working in hot weather conditions. By entering this contest, entrants agree to abide by the rules.

I have read and understand the contest rules*

Yes

For help and information about the contest, contact:
info@youngemployeesafety.org

Please reference the contest rules here.

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

Which category are you entering in?*

Video

Graphic Design

For help and information about the contest, contact:
info@youngemployeesafety.org

Please reference the contest rules here.

Step 3: Fill out the entry form

Fill out the entry form below with your submission.

The deadline for submission is 5:00 p.m. on Friday, February 12, 2027.

Title of work

Title of production

Graphic 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

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

Accepted file types: mp4, avi, wmv, mov, flv, mpg, m2t, avchd, f4v, webm, mpeg2, , Max. file size: 64 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*

What program or web app did you use to create your graphic design?*

Did you use AI or a template to create your graphic design?*

Yes

Please explain:*

If you have your source file available, please upload it here. This would only apply to software such as Photoshop, illustrator, CorelDraw, GIMP. This helps us better understand your process for creating the graphic.

Drop files here or

Max. file size: 64 MB.

Primary contact

Please note we will be contacting you with updates and potential follow-up requests. It is important that you check your email and phone regularly for these updates and requests.

Name*

First Last

Age*

Grade*

Cell number*

Personal Email*

Project participants

Did you collaborate with other students to produce your graphic design or video? (select one)*

Yes

How many participants would you like to add?*

Participant 1

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 2

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 3

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 4

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 5

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 6

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 7

Name*

First Last

Phone

Age*

Email*

Enter Email Confirm Email

Participant 8

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 9

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Participant 10

Name*

First Last

Phone*

Age*

Email*

Enter Email Confirm Email

Are you or other participants in your project 18 years old or older?*

Yes

Upload parent/guardian signatures for each participant under the age of 18 that appears in video/graphic design (on camera or voiceover).

Upload here:*

Drop files here or

Accepted file types: pdf, jpg, png, tiff, Max. file size: 64 MB.

School/club and teacher/advisor information

(For the purpose of awarding matching funds)

Do you attend a high school or home school? (select one)*

High School

Homeschool

High School Name*

High School Address*

Street Address Address Line 2 City State ZIP Code

Homeschool Name*

Homeschool Address*

Street Address Address Line 2 City State ZIP Code

School/club and teacher/advisor information

(For the purpose of awarding matching funds)

Teacher/advisor’s name*

Teacher/advisor’s phone*

Teacher/advisor’s email*

Enter Email Confirm Email

Copyright clearances and information - VERY IMPORTANT

List 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

Accepted file types: pdf, jpg, png, tiff, Max. file size: 64 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 contest

Authorization

I authorize use of my video or graphic design for any educational purposes and in any media. I understand that I may be contacted by the media to discuss this contest.*

Yes

Media Contest Entry Form

Media Contest Entry Form

Step 1: Review the rules

Step 2: Review the media checklist

Step 3: Fill out the entry form

The deadline for submission is 5:00 p.m. on Friday, February 12, 2027.

Title of work

Title of production

Primary contact

Project participants

School/club and teacher/advisor information

School/club and teacher/advisor information

Copyright clearances and information - VERY IMPORTANT

How did you hear about the contest?

Authorization

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