Online Juror Questionnaire

Contact Information
Given (First) Name:  
Family (Last) Name:  
Referred By:  
Business Address
Title:  
Company:  
Business Address 1:  
Business Address 2:
City:  
State/Region:  
Postal Code:
Country:  
Phone:  
E-mail:    
Send Judging Materials to Business Address
Residential Address
Residential Address 1:
Residential Address 2:
City:
State/Region:
Postal Code:
Country:
Phone:
E-mail:  
Send Judging Materials to Residential Address
Category Preference
Category Preference #1:  
Region:  
Category Preference #2:  
Region:  
Category Preference #3:  
Region:  
Professional Experience
Please indicate the area of the television industry in which you are presently working.
 
CV/Resume
(please cut and paste)
Viewing Capacity
The following information will help the Emmy Committee assess the technical aspects of your viewing capacity. Please indicate which standard, format and regional code you have the capacity to view.
VHS Format:  
DVD Format:  
Region Code:  
Recordable DVD:  
Online Viewing Capacity
Please indicate your capacity to view online programs.
Type of Computer:  
CPU Type/Speed:  
Operating System:  
Preferred Video/Media Player:  
Internet Browser:  
Internet Connection:  
Connection Speed:  
Access to streaming video:  
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