Queensland Rural Journalism Award Nomination Form

: Membership confirmation
Are you a current Rural Press Club member?:: YesNo
Which Membership Type:
: Applicant Details
Name details:: First Name:
Last Name:
Email:
Mobile:
Address details:: Line 1:
Line 2:
City:
Country:
Australia
State:
Postal Code:
: Professional profile
Job title:
Organisation:: enter 'Freelance' if self-employed
Headshot photo: Max file upload - 100MB
: Nomination
Your biography:: up to 500 words on your background and experience as a journalist, or upload your resume below
Resume (optional): Upload up to 3 supported files. Max 100 MB per file
Sub-category entered:: Broadcast TVBroadcast radio or podcastWritten content, print or onlineMultimedia online
Story title:
Publication or media outlet name:
Date published or broadcast:
Link to the story:: URL — if the story is behind a paywall, provide a temporary login or upload a PDF of the page below
Entry submission files: Upload up to 5 supported files. Max 100 MB per file
Background about the story:: up to 300 words on why you chose the topic, the challenges you faced, and the impact after publication or broadcast
: Supporting material
Additional supporting documentation: Upload up to 5 supported files. Max 100 MB per file
: You must be a current Rural Press Club member to submit a nomination
Go to Membership Sign Up

Membership confirmation