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AACTA Awards Juror Expression of Interest Form
Name:
(Required.)
AACTA Membership Number:
(Required.)
Industry Accreditation/Role:
(Required.)
Website/IMDb Profile:
Contact Phone Number/Mobile:
(Required.)
Email Address:
(Required.)
Postal Address:
(Required.)
(Note: This is where jury packs will be sent to - it can be a company, private or P.O. box address.)
State:
(Required.)
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Postcode:
(Required.)
Jury Preferences:
Feature Film Pre-Selection (July)
Short Fiction Film & Short Animation (July-August)
Feature Length Documentary (July-August)
Television Drama (September-October)
Television Comedy & Light Entertainment Series (September-October)
Reality Television Series (September-October)
Children's Television Series (September-October)
Documentary Television Program (September-October)
(Please indicate up to 8 jury preferences, with 1 being your first preference.)
Are you associated with any production/s that may be a 2013 entrant?
(Required.)
Yes
No
If so, please provide details of the production/s and your role/involvement:
Have you previously been a juror for the AFI | AACTA?
Yes
No
If so, please advise what year/s and what jury/juries:
