Please provide the following information for your recommendation for a FIVA Culture Awards.

Applicant’s full name(Nécessaire)

Prénom Nom

Contact name

If different from the above.

Prénom Nom

Address(Nécessaire)

Adresse postale Ville ZIP / Code postal Pays

Mobile Phone Number:

Incl. country code please

Landline Phone Number:

Incl. country code please

Email(Nécessaire)

Category(Nécessaire)

6.1 RESEARCH

6.2 DEDICATED SERVICE by INDIVIDUALS or ORGANISATIONS (CLUBS, FEDERATIONS and MUSEUMS, etc)

6.3 EDUCATION, TRAINING and AWARENESS-RAISING

Description of the project/event/initiative(Nécessaire)

(max. 10.000 characters)

How does your project/event/initiative incorporate into the award category definition you are applying for?

(max. 10.000 characters)

Which, if any, other organizations were involved in the project?

Social media and promotion of the project (please add to the application copies of the reports from magazines, newspaper, TV reports, YouTube clips, etc)

Upload a File

A maximum of 3 files can be uploaded. Only jpg, png or pdf files, with a maximum total size of 32mb.

Déposer les fichiers ici ou

Types de fichiers acceptés : jpg, png, pdf, Taille max. des fichiers : 32 MB, Max. des fichiers : 3.

I confirm that all material submitted may be used by FIVA for promotion and information purposes, in whatever way FIVA sees fit, and without any obligation to the sender(s) or creator(s) of the photographic work. In case of entries violating a third party’s copyright, privacy, or other rights, the sender/applicant will indemnify FIVA against all compensation that FIVA owes to those third parties.

I do not own all material and copyright, I indicate who has the copyright below.

To the best of my knowledge, the following people or organisations are copyright holders

Formulaire de Prix Culture FIVA

Please provide the following information for your recommendation for a FIVA Culture Awards.

FIVA

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