Entries must be postmarked by Saturday, January 31, 2015.

BETTER GOVERNMENT ASSOCIATION
2015 Richard H. Driehaus Foundation
Awards for Investigative Journalism
Page 1: Entry Form
By entering this contest, you and your organization grant the Better Government Association (BGA) permission to
use the entry, including the information on this form and the questionnaire. Such uses may include print, video or
online resources, compilations of award tapes and/or streaming video from the BGA website. The authorized
signature of at least one entrant or the contest coordinator, by and/or on behalf of the respective news organization
is required for contest entry. Winners will be notified and a list posted on BGA websites/social media streams.
**DEADLINE: SUBMISSIONS MUST BE POSTMARKED BY JAN. 31, 2015.
Authorized Name: _____________________________________ Title: __________________________
Authorized Signature: __________________________________ Title: __________________________
CONTACT INFORMATION
Name: _______________________________________________ Title: _________________________
Station/Company: ____________________________________________________________________
Station/Company Address: _____________________________________________________________
City: _______________________________ State: _________________ Zip: _____________________
Phone: _________________ Fax: _________________ E-Mail: ________________________________
ABOUT THE ENTRY
Title: _______________________________________________________________________________
Medium (circle all applicable):
Print
Television
Web
Radio
Topic: ______________________________________________________________________________
Type of Gov’t Abuse (circle all applicable):
Waste
Corruption
Mismanagement
Inefficiency
Date(s) Published: _________________________________ Length: ____________________________
Contributors: List contributors to the entry in the order they should appear on plaques or certificates. If this
entry is named a winner, only those listed below will be entered into the official records.
1. ________________________________________ 2. ______________________________________
3. ________________________________________ 4. ______________________________________
5. ________________________________________ 6. ______________________________________
BETTER GOVERNMENT ASSOCIATION
2015 Richard H. Driehaus Foundation
Awards for Investigative Journalism
Page 2: Questionnaire
Please use another sheet (or sheets) to answer the following questions, using the numbering of
each question on the form.
If submitting your entry elecronically, please send responses as a separate document.
The questionnaire must be included with each entry.
1. Title of the story (if part of a series, include the series title) and the names of the
people who worked on it:
2. When did the story publish or air?
3. What is the main topic, and provide a synopsis of the series, including
major findings:
4. Tell how the story got started (tip, assignment, etc.):
a. What were the major types of documents used?
b. Were Freedom of Information Act (FOIA) requests needed?
c. What types of human sources were used?
5. What was the story’s result?
6. Has there been follow-up?
a. Has there been a clarification or correction on the report?
b. Has anyone come forward to challenge its accuracy?
___________________________________________________________________
Once complete, mail eight HARD copies of your submission, along with the entry form and answers to the
questionnaire to:
Mary Frances O’Connor
Better Government Association
223 West Jackson, Suite 900, Chicago, IL 60606
o) 312.821.9026
f) 312.821.9038
[email protected]
**DEADLINE: SUBMISSIONS MUST BE POSTMARKED BY JAN. 31, 2015.

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