NOMINATION FOR SILVER CIRCLE SOCIETY
Induction of 2017 Silver Circle Members will take place at our Emmy ® Gala on September 9, 2017 at The Hershey Lodge in Hershey, PA. The Mid-Atlantic Chapter of the National Academy of Television Arts & Sciences accepts nominations for the prestigious Silver Circle Society. Any NATAS member may submit candidate names by using the form below. Nomination forms are due by March 31 of each year for that year’s awards.
To give the committee the best possible consideration, supplement this nomination form with:
– Details about specific career achievements
– Include importance of jobs in the Mid-Atlantic Region
– Letters in support of the nominee from peers, community members, etc.
The Silver Circle Award recognizes individuals who have outstanding service in broadcasting for a minimum of 25 years, with the majority of it being spent in the Mid-Atlantic Chapter. We accept nominations from broadcast journalism, talent, creative, technical, education, administrative and TV commercial production.
Send nominations to email@example.com.
NAME OF NOMINEE
DAYTIME PHONE EMAIL
YEARS IN THE INDUSTRY YRS IN THE MID-ATLANTIC REGION
CURRENT JOB TITLE
EMPLOYMENT HISTORY _____________________________________________________
SUBMITTED BY TELEPHONE
EMAIL (for questions)
((If needed, please use additional pages to list special achievements/notes))
TOTAL NUMBER OF ADDITIONAL PAGES ________________________1