NOMINATION FOR SILVER CIRCLE SOCIETY
The Mid-Atlantic Chapter of the National Academy of Television Arts & Sciences accepts nominations for the prestigious Silver Circle Society. 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. Induction of the 2018 Silver Circle Members will take place at our Emmy ® Gala on October 13, 2018. Any NATAS member may submit candidate names by using the form below. Nomination forms are due May 1 of each year. Send nominations to firstname.lastname@example.org.
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.
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 _________