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Form A)
             “DIGITAL DIARY OF BASILICATA – SECOND EDITION”
                   APPLICATION FORM TO PARTICIPATE IN
       THE SELECTION FOR THE DESIGN, PRODUCTION AND PUBLICATION
           OF VIDEO STORIES REGARDING THE BASILICATA REGION


I, _________________________________________________
born in (town)___________________
on (date)_____________________
domicilein _______________________________________________
town______________________________________________
zip code __________________________________
country____________________________________________
e-mail _____________________________________________
phone (landline) ______________________
phone (mobile) ______________________

would like to take part in the selection process for the projectregarding production and
publication / posting of video stories on theBasilicata Region organized by the Agency forthe
Territorial Promotion of the Basilicata Region(Agenzia di Promozione Territoriale -
APT),with public noticepublished on the 29th June, 2012with a video referring to one of the
following topics:


L’aglianico: an interpreter of Lucanian territory;

The Sassi di Matera: 3D narration;

The lookof love: storiesof loveand "complicity" of the Lucanian landscape;

Stories of emigration and returns: the imaginative world of memory and the landscape of the land
“recovered”;

Basilicata, nice discovery: the eyesof women;

Genuineness and beauty: the strength of tradition;




                                                                                                1
                          “DIGITAL DIARY OF BASILICATA – SECOND EDITION”
                                        APPLICATION FORM
For this purpose I hereby declare that:
a. My level of spoken and written English is: sufficient, fluent,excellent, mother tongue

__________________________________________

b. The equipment that I plan to use for the project is (manual and/or digital camera, video camera,
audio system, pc, Mac, other,please specify)

____________________________________________

c. Describe your editing skills based on previous work that you havedone.

____________________________________________

d. Which programmes / software are you planning to use for thecreation of your video stories?

____________________________________________

e. Which programmes / software will you be using for you photos?

____________________________________________

f. Describe and illustrate the multimedia work you consider mostrepresentative your style of visual
creativity.
Please specify techniques used, date and location of filming,purpose (technique used, time and
place of realization, which circumstance for ex. collective, personal, commissioned by a third
party).

________________________________________

g. Specify where and when it was released / diffused (on line,exhibition, other, if on line specify
the web site / url).

___________________________________________

h. How many unique visitors viewed your video? Please specifywhere it was published on and off
line. Did it receive attentionfrom the press or any other form of review? Specify in detail url /
website, magazine, other where reviewed.

____________________________________________




                                                                                                      2
                          “DIGITAL DIARY OF BASILICATA – SECOND EDITION”
                                        APPLICATION FORM
i. Which social networks are you a member of? How long have youbeen a member and how many
users / friends for each do youhave? (ex. Facebook, Twitter, Flickr, Linkedln, Google Buzz, Orkut,
deviantART, Myspace, Vimeo, Youtube, Badoo, Netlog, Friendster,Bebo, LiveJournal, Ning, Hi5,
StumbleUpon, please specify anyothers)

____________________________________________

l. Describe your own blog / web site / page. Please specify type ofcontent, frequency with which it
is updated and number offollowers.

____________________________________________



m. Describe any blogs / web sites / pages / forums etc. where youare a member, write or
contribute regularly.

____________________________________________

n.Briefly explain why you would like to particpate in the project.

____________________________________________

Candidates for topic no. D (Stories of emigration and returns: the imaginative world of memory and the
landscape of the land “recovered) have to add these information:

a. to bea descendent ofparents/ grandparents/great grandparentsbornin Basilicata (specify the place of
birth).

_____________________________________________



b. through the storyof my..... I get this idea of Basilicata :

_____________________________________________




                                                                                                         3
                             “DIGITAL DIARY OF BASILICATA – SECOND EDITION”
                                           APPLICATION FORM
Signature


-----------------------



I, …………………………..fully accept all the terms and conditionsstipulated in the Public Notice for
particpating in the production andpublication of video stories regarding the Basilicata Region.


Signature


-----------------------



Please attach valid identity document.



Note.
The form must be signed where necessary and scanned or converted to pdf.



       Applicants can participate in the selectionprocess by sendingForm A) to the
                          following e-mail address:lotito@aptbasilicata.it,
                                   by 3/08/2012 (August3, 2012)




                                                                                                  4
                             “DIGITAL DIARY OF BASILICATA – SECOND EDITION”
                                           APPLICATION FORM

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DIGITAL DIARY of BASILICATA 2012 - Application Form - Form A)

  • 1. Form A) “DIGITAL DIARY OF BASILICATA – SECOND EDITION” APPLICATION FORM TO PARTICIPATE IN THE SELECTION FOR THE DESIGN, PRODUCTION AND PUBLICATION OF VIDEO STORIES REGARDING THE BASILICATA REGION I, _________________________________________________ born in (town)___________________ on (date)_____________________ domicilein _______________________________________________ town______________________________________________ zip code __________________________________ country____________________________________________ e-mail _____________________________________________ phone (landline) ______________________ phone (mobile) ______________________ would like to take part in the selection process for the projectregarding production and publication / posting of video stories on theBasilicata Region organized by the Agency forthe Territorial Promotion of the Basilicata Region(Agenzia di Promozione Territoriale - APT),with public noticepublished on the 29th June, 2012with a video referring to one of the following topics: L’aglianico: an interpreter of Lucanian territory; The Sassi di Matera: 3D narration; The lookof love: storiesof loveand "complicity" of the Lucanian landscape; Stories of emigration and returns: the imaginative world of memory and the landscape of the land “recovered”; Basilicata, nice discovery: the eyesof women; Genuineness and beauty: the strength of tradition; 1 “DIGITAL DIARY OF BASILICATA – SECOND EDITION” APPLICATION FORM
  • 2. For this purpose I hereby declare that: a. My level of spoken and written English is: sufficient, fluent,excellent, mother tongue __________________________________________ b. The equipment that I plan to use for the project is (manual and/or digital camera, video camera, audio system, pc, Mac, other,please specify) ____________________________________________ c. Describe your editing skills based on previous work that you havedone. ____________________________________________ d. Which programmes / software are you planning to use for thecreation of your video stories? ____________________________________________ e. Which programmes / software will you be using for you photos? ____________________________________________ f. Describe and illustrate the multimedia work you consider mostrepresentative your style of visual creativity. Please specify techniques used, date and location of filming,purpose (technique used, time and place of realization, which circumstance for ex. collective, personal, commissioned by a third party). ________________________________________ g. Specify where and when it was released / diffused (on line,exhibition, other, if on line specify the web site / url). ___________________________________________ h. How many unique visitors viewed your video? Please specifywhere it was published on and off line. Did it receive attentionfrom the press or any other form of review? Specify in detail url / website, magazine, other where reviewed. ____________________________________________ 2 “DIGITAL DIARY OF BASILICATA – SECOND EDITION” APPLICATION FORM
  • 3. i. Which social networks are you a member of? How long have youbeen a member and how many users / friends for each do youhave? (ex. Facebook, Twitter, Flickr, Linkedln, Google Buzz, Orkut, deviantART, Myspace, Vimeo, Youtube, Badoo, Netlog, Friendster,Bebo, LiveJournal, Ning, Hi5, StumbleUpon, please specify anyothers) ____________________________________________ l. Describe your own blog / web site / page. Please specify type ofcontent, frequency with which it is updated and number offollowers. ____________________________________________ m. Describe any blogs / web sites / pages / forums etc. where youare a member, write or contribute regularly. ____________________________________________ n.Briefly explain why you would like to particpate in the project. ____________________________________________ Candidates for topic no. D (Stories of emigration and returns: the imaginative world of memory and the landscape of the land “recovered) have to add these information: a. to bea descendent ofparents/ grandparents/great grandparentsbornin Basilicata (specify the place of birth). _____________________________________________ b. through the storyof my..... I get this idea of Basilicata : _____________________________________________ 3 “DIGITAL DIARY OF BASILICATA – SECOND EDITION” APPLICATION FORM
  • 4. Signature ----------------------- I, …………………………..fully accept all the terms and conditionsstipulated in the Public Notice for particpating in the production andpublication of video stories regarding the Basilicata Region. Signature ----------------------- Please attach valid identity document. Note. The form must be signed where necessary and scanned or converted to pdf. Applicants can participate in the selectionprocess by sendingForm A) to the following e-mail address:lotito@aptbasilicata.it, by 3/08/2012 (August3, 2012) 4 “DIGITAL DIARY OF BASILICATA – SECOND EDITION” APPLICATION FORM