Excellence in E-Learning Awards

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Excellence in E-Learning Awards
Extraordinary Performance Centered Design TOOLS Category

ON-LINE SUBMISSION FORM

Note: In addition to submitting your application, you must also mail your non-refundable entry fee check for $495.00, payable to EPSScentral LLC together with your signed Permission to Publish form (see below) mailed to:

EPSScentral LLC
Attn: Gary Dickelman
6909 Pacific Lane
Annandale, VA 22003-5936

Your check must be postmarked on or before June 3, 2002.

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PUBLICATION RELEASE FORM (Please reproduce in hard copy, sign and date, and mail to EPSScentral LLC along with your check):

Entry Title:
Submitted by:
Contact Name:
Phone:
E-mail:
Address:

I hereby grant permission to the Exellence in E-Learning administrators and sponsors to publish my entry in whole or in part, in electronic or print media, with attribution. Publication purposes include sharing news of the competition's results and providing "inspirational" models of innovative performance-centered designs to further interest in, and development of, the field of Performance Centered Design.

Signed: _______________________________________

Date: __________________

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Entry Title:

Your Name:

Email:

Company:

Address Line 1:

Address Line 2:

City:

State:

Zip:

Phone Number:

Product / component name and brief description (50 words maximum).

Vendor: Provide vendor name, address, phone, and, email. Indicate "same as above" if this is the case.

Operating Environment: (operating system, system resource requirements, if applicable)

Product / component detailed description (maximum of 400 words):

Product use: Who is using it and for what purpose(s) (maximum 400 words):

Deliverables provided to those using it (maximum 200 words) plus a sample AND results achieved (maximum 300 words):

What difference does your product / component make with respect to developing performance-centered elements (i.e. why we should care about it; maximum 300 words):

Describe anything else that contributes to this being an extraordinary entry (200 words maximum):

Provide a URL for judges to experience the PCD Tool in as concrete a manner as possible; e.g., supporting graphics, animation/AVI/Flash files, simulation, live system, etc.). If online access is restricted in any way, please provide six (6) logins and passwords: