STUDENT FILM COMPETITION ENTRY FORM

Title of film: __________________________________________________________________

Applicant(s) Name: ____________________________________________________________

School:______________________________________________________________________

Street address:________________________________________________________________

City:____________________________________ State:__________ Zip: ________________

Phone:___________________ E-mail:____________________________________________

Writer(s):____________________________________________________________________

Director(s):___________________________________________________________________

How did you hear about us? _____________________________________________________

Age division (by July 2, 2010):

_____(Middle School) _____(High School) _____(College)

Category (select one):

______ Education ______ Income ______ Health

Featured agency & program: _________________________

(Choose from attached list of United Way partner programs)

FILM ENTRY CHECKLIST

___Signed and completed entry form

___DVD copy of film

COMPETITION CERTIFICATION

1. I/We have read all of the United Way Film Competition rules.

2. I/We understand and have complied with these rules.

3. I/We warrant the submission of my/our original work and there are no disputes regarding the ownership of the submission.

4. I/We also warrant the submitted material does not defame or invade the rights of any person living or dead.

5. I/we fully indemnify the competition against any claim made for such violations of law.

6. I/We understand that failure to adhere to the Competition rules will result in disqualification.

7. I/We agree to hold the LIVE UNITED Competition harmless from and defend them against all claims, demands, losses, damages, judgments, liabilities, and expenses (including attorney’s fees) arising out of or in connection with any and all claims of third parties, whether or not groundless, based on any film submitted to the Competition.

8. To the best of my/our knowledge, all of the statements herein are true and correct.

Signature(s):

_____________________________ Date: _________

Please note parents signatures where applicable (for entrants under 18)

LIVE UNITED STUDENT FILM COMPETITION RULES (page 1 of 2)

THEME:

We can all LIVE UNITED by doing our part to improve Education, Income, and Health in our community.

COMETITION:

The United Way Short Film Competition is a short film and video competition open to all students interested in film. Use the theme to produce a short film which features a United Way partner and a program of your choice (Some partners have more than one program connected to United Way). Your video must communicate the theme written or verbally and introduce the partner agency as a United Way Community Partner. Beyond these guidelines, it’s open to your artistic talent and we hope that you have a lot of fun.

Contact Emma Pope-Welch, Director of Communications with questions:

207.941.2800

emmap@unitedwayem.org

ENTRIES MUST INCLUDE:
1.) Entry form - filled out clearly and completely, with an original signature. Entry forms can be printed out (or photocopied) from www.unitedwayem.org you may request that one be mailed to you.

2.) Short film or video entry on DVD or VHS, regardless of original shooting format. Total running time should be approximately 1 to 2 minutes in length. Videos may be filmed in a 4:3 or a 16:9 aspect ratio, but should be exported as 4:3 DV NTSC (720 x 480 pixels). File size should not exceed 1 GB and .mov files are preferred.

FINAL ENTRY DEADLINE: ENTRIES MUST BE POSTMARKED BY JULY 2, 2010 OR EARLIER!

Entrants may submit multiple entries, one in each category. Each entry requires a separate DVD and entry form. Short films that are submitted must be the entrants’ original work and shall not infringe on any copyrights or any other rights of any third parties. Contestants agree that they have obtained all required permissions regarding music, sound and/or images presented in your short film. By entering the competition, the entrant agrees that the United Way Short Film Competition will not be held liable for any copyright infringements perpetrated by you or your short film. The United Way Short Film Competition reserves the right to not screen any film(s) for any reason it deems valid. Winners will be required to sign an affidavit confirming that their short film is original and he/she holds all rights. Failure to sign and return the form within the required time period (30 days) or provision of false information may result in disqualification and an alternate winner may be selected. Affidavits of winners under 18 years of age at time of award must be countersigned by parent or legal guardian. Affidavits are subject to verification by the United Way Short Film Competition. Entrants will retain all ownership rights to their films submitted.

Entry materials submitted will not be returned to the entrant. The United Way Short Film Competition is not responsible for late, lost, damaged, misdirected, postage due, stolen, or misappropriated entries.

Winners are selected by a judging panel of industry professionals consisting of independent producers, production companies, agents, distributors, filmmakers, and other film industry professionals who may be substituted at the discretion of the competition organizers. All entries are judged equally based on these 5 areas: Content Originality (Theme inclusion and quality story of featured agency),

LIVE UNITED STUDENT FILM COMPETITION RULES (page 2 of 2)

Production & Image (Camera work, lighting, and shot composition), Sound Quality (Clarity, consistency of audio levels, and lack of noise), and Post-Production (Editing, transitions, pacing, continuity, and flow).

Finalists and winners will be screened July 16, 2010 at the first annual KahBattle of the Bands to benefit United Way. Finalists and winners will be notified by mail and/or email and will also be listed on www.unitedwayem.org. The United Way Short Film Competition will use its best efforts to announce the winners at the designated time, but will not be held liable for any unforeseen delays.

Prizes: The Grand Prize Winner will receive placement on United Way of Eastern Maine and KahBang websites in addition to announcements and placement on social media sites. All finalists will be screened during the KahBattle of the Bands event.

All prizes will be credited to the first name as it appears on the entry form, and division of prizes among co-directors is the responsibility of the winners. However, multiple directors will be listed on our website and in all press releases.

By entering the United Way Short Film Competition, contestants and/or their parents or legal guardian (if such entrant is a minor) agree to accept and be bound by the decisions of the competition and its judges which are final and binding in all matters. Entrant agrees to be bound by all terms of these official competition rules and regulations as established herein. Employees, their families, subsidiaries, and affiliates are not eligible. If entrant is under 18 years old, the signature of a parent or guardian is required. The United Way Short Film Competition reserves the right to extend the competition deadline for any unforeseen reasons if needed. Entry constitutes permission to use winner's name, likeness, and voice for future advertising and publicity purposes without additional compensation.

Return your completed entry form, along with required materials to*:

United Way of Eastern Maine

c/o LIVE UNITED Film Competition

24 Springer Drive, Suite 201

Bangor, ME 04401

www.unitedwayem.org

(207) 941-2800 ext. 208

*Include a self-addressed, stamped postcard for each submission if you wish to acknowledge the receipt of your entry.

UNITED WAY PARTNERS AND THEIR PROGRAMS (programs are italicized)

BANGOR/BREWER

Amicus/Edward Bouchea Center For Learning

Day Program (207) 564-2708

Bangor Area Homeless Shelter

Day Program

Visiting Nurses Program

(207) 947-0092

Bangor Y

Discovery House Preschool
Capehart Outreach Program
JumpStart Program

Learning Leaders (Youthworks)Program
Opportunity Prog for Teens & K-Club
Boys Mentoring Program

Y-Works

Pulmonary Cardiac Rehabilitation

(207) 941-2808

Community Health and Counseling Services

Arts N Kids

Telehealth in Rural Maine

(207) 947-0366

Eastern Area on Aging

Community Services Information and Assistance

Matter of Balance - Falls Prevention Program
EAA-Z Fix Program
Meals for ME

(207) 941-2865

Eastern MaineAIDS Network

Community Education, Outreach and Case Management

(207) 940-3626

Families and Children Together

Maine Kids-Kin Program

(207) 941-2347

Good Samaritan Agency

Childcare Program

Single Parent Program

(207) 942-7211

Legal Services for the Elderly

Assuring Elderly Access to Long Term Care Project

(207) 621-0087

Literacy Volunteers of America-Bangor

Adult Literacy (207) 947-8451

Maine Mental Health Connections

Together Place Social Club

(207) 941-2907

My Friends Place

Memory Loss Day Program

(207) 945-0122

Penquis

Foster Grandparent Program

Coastal Retired & Senior Volunteer
Retired Senior Volunteer Program (RSVP)
Health Services
Law Program
Penquis Youth Ideas and Partnership Project
Penquis Family Self-Sufficiency

Rape Response Services

(207) 973-3571

Pine Tree Legal Assistance

Family Advocacy Program

(207) 774-4753

Shaw House

Day Program and Basic Center
Youth Emergency Shelter
Shaw House Streetlight Outreach Program

(207) 941-2874

Spruce Run Association

24-hour Hotline

Support and Education Groups

(207) 945-5102