2014 Influence Award Entry

Full Name*

First NameLast Name

Organization*

Title*

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Entry Type*

ProgramTacticInfluencer of the YearDistinguished Young Influencer

Program Category*

Public Affairs Programs specifically designed to influence public policy and/or affect legislation, regulations, political activities or candidacies — at the local, state or federal government levels — so that the entity funding the program benefits.Crisis Communication Programs undertaken to deal with a crisis event or issue with broad impact.Special Events: One-time program to honor, commemorate, celebrate or recognize something. The duration of this one-time program may be a single day to a full year.Internal Communication Campaigns Programs targeted specifically to special publics directly allied with an organization (for example, employees, members, affiliated dealers or franchisees).Social Media Campaigns: A campaign executed online using multiple social media applications to inform a public, grow a membership base or promote a product or service. Include screenshots of key elements of your campaign with your entry.External Community Relations Campaigns: Programs that seek to win the support or cooperation of, or that aim to improve relations with, people or organizations in communities in which the sponsoring organization has an interest, need or opportunity.

Program / Entry Name*

Special Event Budget - Please indicate the total budget including both direct costs and in-kind donations.*

Program Purpose: Provide a clear statement of the problem you were trying to solve or goal you were attempting to meet. Include any details necessary to fully understand the issue. (500 Character Maximum)*

0/500

Program Research: Indicate the types of research used in developing your program. Include the rationale for using each specific research method and what conclusions you were able to draw based on your results. (1,000 Character Maximum)*

0/1000

Program Planning: Provide a description and justification of your target audiences, measurable objectives, strategies, activities/tactics and budget. Indicate who was involved in creating the plan and their specific role. (2,000 Character Maximum)*

0/2000

Program Implementation: Describe how your plan was implemented. In general terms, how did the activities flow? Were there any difficulties encountered? If so, how were they handled? (2,000 Character Maximum)*

0/2000

Program Evaluation: Describe any formal evaluation tools or methods used to measure effectiveness of the program as a whole and results toward each stated objective. (1,000 Character Maximum)*

0/1000

Program Backup Materials: Please submit any backup materials for your entry. Only pdf, zip, mp3, mpg, avi, jpg, jpeg, png, gif files are allowed with a maximum file size of 10 MB.

Tactic Category*

Media Relations: A single media relations tool used to generate media coverage for a person, product, service, topic or an organization. Submit one copy or your press release, press kit or other tool. Submit your tool as supplementary material to your entry summary.Feature/Editorial Writing: An original article, column or essay written to entertain or educate a public about a specific person, organization or topic. Submit a copy of the final piece as supplementary material to your entry summary.Collateral Materials/Publications: Printed materials designed to inform a target audience about an organization, product, service or issue. This category includes pamphlets, brochures, posters, signage, newsletters or magazines. Submit a PDF of the material along with your entry summary. For publications published on an ongoing basis, please submit three consecutive issues.Annual Report: Publications that report on an organization’s annual performance. Submit a PDF of the publication along with your entry summary.Audiovisual: An audio or video project targeted toward an internal or external audience. Your final product should be posted online and a link included in your entry summary.Electronic/Digital: An interactive communications piece including websites, individual social media posts, e-newsletters, intranets, etc. If web-based, submit an active URL as well as a set of screenshots. If not web-based, submit a PDF document with images or other appropriate supporting materials.

Entry Name*

Purpose: Provide a clear statement of the problem you were trying to solve or goal you were attempting to meet. Include who your target audience was and what measurable objectives were selected before implementing the tactic. (500 Character Maximum)*

0/500

Tactic Implementation: Share details of how your tactic was executed. Include the timeframe of the project and a description of who was involved and their role. Describe any difficulties encountered and how they were handled. (2,000 Character Maximum)*

0/2000

Tactic Budget: Describe the final project budget and note any discrepancies with the project’s initial budget. (500 Character Maximum)*

0/500

Tactic Evaluation: Indicate in your summary whether the project met it’s stated objectives and detail what evaluation methods were used to determine its effectiveness. Documentation of how success was measured is encouraged. (1,000 Character Maximum)*

0/1000

Tactic Backup Materials: Please submit any backup materials for your entry. Only pdf, zip, mp3, mpg, avi, jpg, jpeg, png, gif files are allowed with a maximum file size of 10 MB.

Name to Print on Your Award*

Organization to Print on Your Award

Nominee*

First NameLast Name

Nominee's Current Organization*

Nominee's Current Title*

Nominee's E-mail Address

example@example.com

Nominee's Phone Number

Influencer of the Year Nomination: Share how your candidate has contributed to the field of public relations and served our community at large. Include the candidate's professional accomplishments, commitment to improving the public relations field and support of the community through pro bono work or other means. (4,000 Character Maximum)*

0/4000

Influencer of the Year Backup Materials: Please submit any backup materials for your entry. Only pdf, zip, mp3, mpg, avi, jpg, jpeg, png, gif files are allowed with a maximum file size of 10 MB.

Distinguished Young Influencer Nomination: Share how your nominee contributes to the field of public relations through professional interactions and pro-bono work. Indicate what sets the individual apart from peers and evidence of their likelihood to continue to impact and influence the public relations profession and community.(4,000 Character Maximum)*

0/4000

Nominee*

First NameLast Name

Nominee Current Organization*

Nominee Current Title*

Nominee E-mail

example@example.com

Nominee Phone Number

Distinguished Young Influencer Backup Materials: Please submit any backup materials for your entry. Only pdf, zip, mp3, mpg, avi, jpg, jpeg, png, gif files are allowed with a maximum file size of 10 MB.

I agree the following statements:

the information provided on this entry is true and accurate to the best of my knowledge.I certify that the program or tactic described was developed and executed in compliance with the www.example.com and that all work described is properly credited to its owner.

Date

Signature*

Payment Method

Credit Card (PayPal)CheckInfluencer of the Year or Distinguished Young Influencer Nomination - NO COST

Payment via Pay-Pal or Credit Card: Not yet a member of us? Join today and save on your entry fee!

Send check payments to: 123 Mainstreet, Anytown Box 1111. Please include a copy of my confirmation e-mail for each entry the check covers. Payments by Sept. 8 are greatly appreciated but must be received no later than Sept. 19.

Member Entry: $60

Non-Member Entry $70

Student Member Entry $20

Non-Member Student Entry $30

Questions about your entry?
Contact Influence Awards Chair John Doe at (111) 111-1111
or via e-mail at example@example.com

Influence Awards

Your Entry

Award Details

Influencer of the Year Nomination

Distinguished Young Influencer Nomination ...

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