2004 PEN/Newman's Own First Amendment Award Nomination Application Deadline: December 31, 2003 All nominations are confidential. Finalists will be notified before their names are publicized. A separate application must be used for each candidate.

PURPOSE PEN American Center and Newman's Own seek to honor each year an individual who has fought courageously, against adversity, to safeguard the First Amendment right to freedom of expression in the United States as it applies to the written word wherever it may be threatened: in books, newspapers, magazines or pamphlets, film scripts or plays, or any other medium. A cash award of $25,000, will be presented at the PEN Benefit Dinner in spring 2004. ELIGIBILITY Any individual who has worked to protect freedom of expression in the United States as it applies to the written word--such as a writer, publisher, journalist, editor, bookseller, schoolteacher, or librarian--is eligible. Especially sought are those whose achievements have not otherwise garnered recognition through institutional affiliation or public visibility. For example, a candidate may have worked to restore a banned book to the classrooms or library shelves of a school; called for the reinstatement of a newspaper or magazine editor fired as a result of his or her writing; published a controversial book despite unjustified threats of libel action; overcome harassment by a hostile section of a community while mobilizing a project against censorship; waged a costly and time-consuming lawsuit in defense of the First Amendment; or performed any other extraordinary act to defend freedom of the written word. The actions for which the candidate is nominated must have occurred within the past five years. NOMINATIONS Each individual candidate should be suggested by a nominator, who may or may not be affiliated with the literary, journalistic, educational, legal, or human rights communities.

APPLICATION CANDIDATE Name: Home address: City: State: Zip: Home phone: Fax: E-mail: Profession: Work address: City: State: Zip: Work phone: Fax: NOMINATOR Name: Home address: City: State: Zip: Home phone: Fax: E-mail: Profession: Work address: City: State: Zip: Work phone: Fax: SUMMARY In the space provided, please briefly summarize the candidate's actions in defense of freedom of expression.

DOCUMENTATION I. Using additional sheets as necessary, please describe the following: 1. the circumstances under which the individual worked to protect freedom of expression, as it applies to the written word; 2. the actions taken by the candidate; 3. the difficulties encountered by the candidate as a result of his/her actions (where applicable); 4. the outcome to date. II. Please provide references to support this nomination. III. Newspaper clippings, community testimonials, or any other supporting materials that will facilitate the review of the candidate by PEN's panel of judges may also be included. NOTE: If the text defended is the candidate's own, it must be clear that the efforts made by the candidate were not motivated by self-interest. ADDITIONAL INSTRUCTIONS 1. Submit one original of the application packet (this form and the documentation listed above) along with five photocopies of the entire packet. 2. Applications packets must be received by December 31, 2003. This is not a postmark date. 3. Send to: PEN/Newman's Own First Amendment Award PEN American Center 568 Broadway, Suite 401 New York, NY 10012 For more information, call or write: (212) 334-1660, ext. 106 or ftw@pen.org