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PLEASE RETURN THIS FORM BY 29th June 2012

EMAIL YOUR FORM BACK TO: foodgloriousfood@optomen.com




FOOD GLORIOUS FOOD

(Working Title)
APPLICATION FORM (2012)
APPLICATION NUMBER:

Insert/Attach recent photo of yourself Insert / Attach photo of your dish

PLEASE NOTE: ONE RECIPE PER ENTRANT ONLY

NAME OF RECIPE: ________________________


ABOUT YOU:

FULL NAME

(PLEASE CIRCLE MR / MRS / MISS / MS / OTHER)

MR MRS MISS MS / OTHER (please specify)_________



Insert full name here:____________________________



ADDRESS (including full postal code):
EMAIL:
TWITTER (IF APPLICABLE) :
FACEBOOK NAME (IF APPLICABLE) :

BLOG NAME (IF APPLICABLE) :

CONTACT TELEPHONE NUMBERS:

Daytime:

Evening:

Mobile:






AGE and DATE OF BIRTH:

**Please see T&Cs below

if you are under 16***
PLEASE NOTE:

IF YOU ARE UNDER 16 - please provide contact details of parent / guardian, see opposite: (we will need to get in touch with them to discuss your application further and also get their consent for you to

enter the competition)



NAME:
RELATIONSHIP TO YOU:
CONTACT NUMBER:


YOUR OCCUPATION:





IF YOU ARE OR HAVE BEEN A CHEF, PROFESSIONAL COOK OR WORKED IN THE CATERING PROFESSION, PLEASE CIRCLE AND NAME ANY RELATED QUALIFICATIONS OR EXPERIENCE, OPPOSITE:



Please specify:
GCSES:
A LEVELS:
HND / DEGREE:
CITY & GUILDS:
VOCATIONAL COURSES:
WORK EXPERIENCE:

IF YOU HAVE ANY CONNECTION OR COMMERCIAL RELATIONSHIP TO A FOOD BRAND, FOOD PRODUCT OR FOOD/CULINARY ENTERPRISE (SUCH AS A RESTAURANT OR FOOD SHOP), PLEASE GIVE US FULL DETAILS OPPOSITE:





RELATIONSHIP STATUS:
(UNDERLINE THE STATUS WHICH RELATES TO YOU)

SINGLE / DIVORCED / SEPARATED / WIDOW / OTHER :

IF OTHER PLEASE SPECIFY:


ETHNICITY:


“It is the Company’s policy not to discriminate against competitors on the basis of their race, colour, nationality, ethnic or national origin, age, religion or philosophical belief, gender, gender reassignment, marital status, sexual orientation, political views, pregnancy, maternity, or disability.”


DO YOU HAVE CHILDREN? IF SO, HOW MANY AND WHAT ARE THEIR AGES?






ABOUT YOUR RECIPE:

You can only enter one recipe into the competition- ONE RECIPE PER ENTRANT, please!


  • WHAT IS THE NAME OF YOUR RECIPE?




  • TELL US HOW YOUR RECIPE CELEBRATES AND REPRESENTS THE FOOD WE EAT IN THE UK?




  • HOW MANY TIMES HAVE YOU COOKED A DISH FROM YOUR RECIPE?



  • WHO DO YOU USUALLY COOK THIS FOOD FOR?



  • WHAT’S THE REACTION YOU USUALLY GET TO THIS DISH?

(E.g: Is it your signature ‘date

dish’ or the one dish that you have with your family every Sunday?)


  • HAVE YOU HAD ANY KITCHEN DISASTERS WITH THIS RECIPE? IF SO, WHAT WENT WRONG?



  • HOW MUCH DOES IT COST TO MAKE?




  • WHAT’S THE STORY BEHIND YOUR RECIPE?






THE HISTORY OF YOUR RECIPE:

(in no more than 100 words)



  • Whose recipe is it? (Where does it originate from- is it Granny’s recipe? Is it your take on a Delia recipe?- PLEASE SPECIFY- giving as much detail as possible)



  • If your recipe belongs to someone else, do you have their permission to submit the recipe into this competition?




  • If you believe you do not need this other person’s permission to submit the recipe, please explain why opposite (e.g. the person is deceased):



  • What makes your recipe original? (It can be anything from having devised your own method for crimping pastry to using your Grandma’s old mixing bowl or Do you use specific produce e.g. grow your own, use local suppliers)




  • What is the magic ingredient in it that makes it so great?





WHERE DO YOU USUALLY SOURCE THE INGREDIENTS FROM FOR THIS DISH/RECIPE?






HAS YOUR RECIPE OR DISH EVER WON ANY AWARDS, FEATURED IN THE PRESS OR BEEN PUBLISHED ANYWHERE?
HAS YOUR RECIPE OR DISH EVER APPEARED ON TELEVISION OR ON THE INTERNET?
HAVE YOU GIVEN ANYONE ELSE PERMISSION TO USE YOUR RECIPE?
HAVE YOU GIVEN ANYONE ELSE PERMISSION TO USE YOUR RECIPE FOR ANY COMMERCIAL PURPOSE?

PLEASE GIVE US MUCH INFORMATION AS POSSIBLE





THE RECIPE FOR YOUR DISH:

Please provide full list ingredients and method and attach or include a photocopy of the original recipe.

We cannot return originals.
(This photocopy may come from Granny’s old blue recipe book or be written on the back of a scrap of paper that’s been taped together on numerous occasions!)



NAME OF DISH:

SERVES:

( e.g. 2 or 4 or makes 12 muffins etc.)




INGREDIENTS:

(Complete list which must include all quantities/measures )



METHOD:

(Step by step instruction on all stages required to cook the dish. Please include oven temperatures, cake tin sizes etc )




WHY DOES YOUR DISH DESERVE TO BE ON THE SHELVES OF M&S?







SHOW US YOUR DISH! :

This is your chance to demonstrate and film your dish being made by you from your recipe, IF you wish!


Please go to www.foodgloriousfood.tv To find out how to enter your dish online (T&CS on this site).
WHEN YOU SUBMIT YOUR VIDEO AT THE BEGINNING TELL US YOUR NAME, YOUR PHONE NUMBERS AND THE NAME OF YOUR RECIPE SO WE CAN MATCH IT TO YOUR APPLICATION

WILL YOU BE SUBMITTING ONLINE A VIDEO OF YOUR DISH BEING PREPARED?



rectangle 11

YES
rectangle 12


NO


PLEASE NOTE THAT YOUR ENTRY WILL NOT BE DISCOUNTED IF YOU FAIL TO SUBMIT YOUR RECIPE ONLINE




WHERE DID YOU HEAR ABOUT THE SHOW?




HAVE YOU APPEARED ON ANY OTHER TV SHOWS? IF SO PLEASE LIST THE SHOWS AND PUT THE DATES OF YOUR APPEARANCE:






MEDICAL AND LEGAL INFORMATION:

DO YOU HAVE ANY MEDICAL CONDITIONS, FOOD ALLERGIES OR DISABILITIES WHICH WE SHOULD BE AWARE OF, OR ANY SPECIAL REQUIREMENTS IF YOU’RE REQUESTED TO ATTEND AN AUDITION?





DO YOU HAVE ANY CRIMINAL CONVICTIONS? IF SO, PLEASE LIST THEM (INCLUDING SPENT CONVICTIONS) TOGETHER WITH DATE OF CONVICTION AND YOUR SENTENCE/FINE:
HAVE YOU RECEIVED ANY OR POLICE CAUTIONS? IF SO, PLEASE LIST THEM TOGETHER WITH DATE OF CAUTION:
ARE YOU CURRENTLY UNDER ANY CRIMINAL INVESTIGATION? IF SO ,PLEASE GIVE FULL DETAILS OPPOSITE:
HAVE YOU EVER BEEN INVOLVED IN A CRIMINAL INVESTIGATION AND/OR TRIAL (EITHER AS A PERPETRATOR, WITNESS OR VICTIM)?





ARE YOU OR IS A CLOSE FAMILY MEMBER A CURRENT OR FORMER EMPLOYEE OF ITV PLC, OPTOMEN TELEVISION LIMITED, SYCO ENTERTAINMENT LIMITED, SONY MUSIC ENTERTAINMENT UK LIMITED OR MARKS AND SPENCER PLC OR ANY OF THEIR RESPECTIVE GROUP COMPANIES? IF SO, PLEASE GIVE FULL DETAILS OPPOSITE:






ARE YOU A CITIZEN OR LEGAL RESIDENT OF THE UK?


ARE YOU LEGALLY ENTITLED TO WORK IN THE UK FOR ANY EMPLOYER?

ARE YOU AVAILABLE for FILMING? You will need to be available between July to January 2013. Tell us about any holidays booked or periods you can’t film


(Please circle)
YES NO

YES NO









IMPORTANT COMPETITION INFORMATION:
PLEASE READ CAREFULLY THE COMPETITION’S ENTRY CRITERIA AND JUDGING CRITERIA WHICH ARE ATTACHED TO THIS EMAIL.
IN ORDER TO ENTER THIS COMPETITION (AND PARTICIPATE IN THE PROGRAMME (IF ANY)), YOU WILL NEED TO COMPLETE AND RETURN THIS APPLICATION FORM INCLUDING READING, UNDERSTANDING AND AGREEING TO THE ENTRY CRITERIA AND JUDGING CRITERIA WHICH ARE ATTACHED TO OUR EMAIL, TOGETHER WITH THE COMPETITION OUTLINE AND THE COMPETITION’S TERMS AND CONDITIONS WHICH CAN BE FOUND AT WWW.FOODGLORIOUSFOOD.TV

THESE DOCUMENTS TOGETHER WILL GOVERN THE WAY THE COMPETITION IS RUN (AND YOUR PARTICIPATION IN THE PROGRAMME (IF ANY)). YOU MAY ALSO ELECT TO SEND IN A SHORT VIDEO OF YOU PREPARING YOUR RECIPE. IF YOU DO SO, YOU WILL NEED TO READ AND AGREE TO THE VIDEO SUBMISSION TERMS WHICH CAN BE FOUND AT WWW FOODGLORIOUSFOOD.TV

YOU ACKNOWLEDGE THAT THE IDENTITY OF THE RUNNERS UP AND WINNER OF ANY ROUND OF THE COMPETITION IS STRICTLY CONFIDENTIAL INFORMATION AND YOU MUST AGREE NOT TO REVEAL THIS INFORMATION PRIOR TO THE FINAL EPISODE OF THE PROGRAMME BEING BROADCAST. YOU MUST AGREE NOT TO PUBLICLY DISCUSS YOUR INVOLVEMENT IN THE COMPETITION OR THE PROGRAMME (INCLUDING ONLINE OR VIA SOCIAL MEDIA) OR TO USE THE PROGRAMME, OPTOMEN, ITV’S, M&S’ OR SYCO’S NAME IN ANY WAY WITHOUT OUR PRIOR WRITTEN APPROVAL.


WE RESERVE THE RIGHT AT ANY TIME TO CARRY OUT BACKGROUND CHECKS ON YOU TO VERIFY THE ABOVE INFORMATION (INCLUDING, BUT NOT LIMITED TO, CRIMINAL RECORDS BUREAU CHECKS CARRIED OUT BY THIRD PARTY ORGANISATIONS). BY SUBMITTING THIS APPLICATION FORM TO US, YOU HEREBY AUTHORISE US TO CARRY OUT SUCH BACKGROUND CHECKS.  DISCLOSURE OF CRIMINAL CONVICTIONS, CAUTIONS, CRIMINAL CHARGES, CRIMINAL PROCEEDINGS, INVESTIGATIONS, CRIMINAL TRIALS AND/OR COUNTY COURT JUDGMENTS MAY NOT AUTOMATICALLY EXCLUDE YOU FROM PARTICIPATING BUT WE SHALL BE ENTITLED TO EXERCISE OUR SOLE DISCRETION IN THIS REGARD AND CERTAIN CONVICTIONS (SPENT OR OTHERWISE), CAUTIONS, PENDING CRIMINAL PROCEEDINGS AND/OR INVESTIGATIONS AND/OR COUNTY COURT JUDGMENTS MAY INVALIDATE YOUR APPLICATION OR OTHERWISE RESULT IN THE TERMINATION OF YOUR APPLICATION AND/OR YOUR CONTINUED PARTICIPATION IN THE COMPETITION AND/OR PROGRAMME.  IN ALL CASES OUR DECISION SHALL BE FINAL.

NOTE: YOU MUST NOTIFY US IMMEDIATELY IF YOU ARE CONVICTED OF A CRIMINAL OFFENCE, GIVEN A POLICE CAUTION, IF CRIMINAL CHARGES ARE BROUGHT AGAINST YOU AND/OR YOU ARE SUBJECT TO A CRIMINAL INVESTIGATION AFTER YOU HAVE SUBMITTED THIS APPLICATION FORM BUT BEFORE FIRST TRANSMISSION OF THE EPISODE OF THE PROGRAMME YOU APPEAR IN (IF ANY). SUCH DISCLOSURE MAY NOT AUTOMATICALLY EXCLUDE YOU FROM PARTICIPATING BUT WE SHALL BE ENTITLED TO EXERCISE OUR SOLE DISCRETION IN THIS REGARD AND CERTAIN CONVICTIONS, CAUTIONS, CRIMINAL CHARGES, PENDING CRIMINAL PROCEEDINGS AND/OR INVESTIGATIONS MAY INVALIDATE YOUR APPLICATION OR OTHERWISE RESULT IN THE TERMINATION OF YOUR APPLICATION AND/OR YOUR CONTINUED PARTICIPATION IN THE COMPETITION AND/OR PROGRAMME AND/OR ALLOW US TO WITHHOLD OR RECLAIM ANY PRIZE OR OTHER BENEFIT AWARDED OR DUE TO BE AWARDED TO YOU AS A RESULT OF YOUR PARTICIPATION IN THE COMPETITION AND/OR PROGRAMME.  IN ALL CASES OUR DECISION SHALL BE FINAL.

IF WE LATER DISCOVER THAT YOU HAVE CRIMINAL CONVICTIONS, CAUTIONS AND/OR CHARGES AND/OR INVOLVED IN ANY CRIMINAL PROCEEDINGS OR INVESTIGATIONS, YOU HAVE NOT INFORMED US ABOUT PREVIOUSLY, AND AS A RESULT YOUR PARTICIPATION IN THE COMPETITION AND/OR PROGRAMME IS TERMINATED OR ANY PRIZE OR BENEFIT RECLAIMED OR WITHHELD, YOU ACCEPT THAT REFERENCE MAY BE MADE TO THESE CONVICTIONS, CAUTIONS, CHARGES, CRIMINAL PROCEEDINGS AND/OR INVESTIGATIONS PUBLICLY. 


DATA PROTECTION:

PLEASE READ CAREFULLY
OPTOMEN and SYCO would like to retain your contact details for use in the future when we are producing similar programmes.  Are you happy for us to do this and to contact you in the future?

Y


rectangle 10es         No

Your answer to this question will not influence the selection process for FOOD GLORIOUS FOOD (Working Title).

The information you provide will be collected and compiled by both ITV, SYCO and Optomen, producers of the series FOOD GLORIOUS FOOD, for the purposes of assessing whether you are a suitable contributor for FOOD GLORIOUS FOOD and developing and producing FOOD GLORIOUS FOOD and any associated website content, programme, publicity, promotion and distribution materials. 

ITV 1, SYCO and OPTOMEN will not store or use your details for any other purpose unless you have indicated otherwise. ITV 1, SYCO and OPTOMEN will not transfer your details to any other third party without contacting you first. 

Please visit the Privacy Policy for more information on how ITV1, SYCO and OPTOMEN uses your data -

www.itv.com/privacy/

For more information about the use of your personal data by ITV1, SYCO and OPTOMEN, please email: foodgloriousfood@optomen.com

If you are not selected to appear on this show, and you have indicated that you do not wish for us to retain your contact details, your personal information will be securely destroyed and will not be used for any other purpose without your express permission.

I/we have read the Competition’s Entry Criteria, Judging Criteria, The Competition Outline and the Competition’s Terms And Conditions and where applicable, the Video Submission Terms and Conditions (“the Terms”) and am/ are familiar with each and all of the Terms therein. I am/ we are satisfied that the Terms are fair and equitable, I/we agree to the Terms and hereby apply to participate in the Competition, subject to the Terms and I/ we will not revoke my consent at any time.

...........................................        

SIGNATURE

...........................................

PRINT NAME

..........................................

DATE


PARENTAL / GUARDIAN RELEASE FORM

TO ALLOW ANYONE UNDER 16

to apply or submit clips

PARENTS/ GUARDIANS OF MINOR APPLICANTS (I.E. ANYONE UNDER 16 AT THE DATE OF APPLYING) SHOULD PRINT OUT THE APPLICATION FORM AND SIGN THE PARENTAL CONSENT CLAUSE BELOW. MINOR APPLICANTS NEED TO BRING THIS PARENTAL CONSENT WITH THEM TO THE OPEN AUDITION OR, IF MAKING A VIDEO OR DVD SUBMISSION, SEND THE SIGNED CONSENT TO OPTOMEN

Parental Consent (where Applicant is a minor)
I/ we * ........................................................................................
represent and warrant that I am/ we are the parent(s) or legal guardian(s) of

**........................................................................................ (my “Child/ Ward”). I/we acknowledge that I/ we have read the Competition’s Entry Criteria, Judging Criteria, The Competition Outline and the Competition’s Terms And Conditions and where applicable the Video Submission Terms and Conditions (“the Terms”) and am/ are familiar with each and all of the terms and conditions therein. I am/ we are satisfied that the Terms are fair and equitable, I/we agree to the Terms and I/ we hereby give my express consent for my Child/ Ward to apply to participate in the Contest subject to the Terms and I/ we will not revoke my consent at any time. I/we hereby fully guarantee the performance of my Child’s/ Ward’s obligations and responsibilities as set out in the Terms.


*Insert name of Parent/ Guardian(s)

**Insert name of Minor Applicant

Signed

...........................................        [Print Name]...........................................


...........................................        [Print Name]...........................................





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