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 Society 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 commercial TV production. Induction of the 2019 Silver Circle Members will take place at the annual Mid-Atlantic Regional Emmy® Awards Gala. Any NATAS member may submit candidate names by using the form below. Nomination forms are due May 1 of each year. Send nominations to tara@natasmid-atlantic.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
ADDRESS CITY/STATE
DAYTIME PHONE EMAIL
YEARS IN THE INDUSTRY YRS IN THE MID-ATLANTIC REGION
CURRENT JOB TITLE
EMPLOYMENT HISTORY _____________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
COMMUNITY/OTHER _________________________________________________________
SUBMITTED BY TELEPHONE
EMAIL (for questions)
((If needed, please use additional pages to list special achievements/notes))
TOTAL NUMBER OF ADDITIONAL PAGES _________