Judging Panel Information Form

Name*

First NameLast Name

Station/ Company *

Role *

Phone Number*

Please enter a valid phone number. This will be kept confidential at all times. For emergency use only.

Email*

example@example.com

Have you judged at the ACME Radio Awards previously?*

YesNo

Would you be confident in judging a category which includes entries in the Irish language?*

YesNo

Please tick to indicate your areas of expertise and interest:*

MusicNewsSpeechSport

Please note that your name and provided photo will be included on the awards website, however information on which categories you actually judged will remain confidential at all times. We will do our best to allocate you to categories of interest/expertise but please note that this is not always possible.

As a member of the Judging Panel, you may become privy to confidential information regarding the ACME Radio Awards.

By ticking the below box and providing a typed signature you are confirming that you are happy for your photo to be included on the ACME Radio Awards website and confirming that you undertake not to divulge any confidential information to anyone, including other employees within your company or any work colleagues, and will not publish or procure publication in any media until after official publication.*

I agreeI disagree

Please provide a typed signature below. *

Please upload your photo below.

If you were a 2022 judge and already supplied a photo and are happy for us to use this photo again this year please state here: