Distinguished Service (Nomination form)

DISTINGUISHED SERVICE AWARD

Nominations are closed for 2018.

The description of the DISTINGUISHED SERVICE AWARD was changed in 2016 to reflect that this award is intended for a "behind the scenes" volunteer that demonstrates exemplary dedication and unselfish giving of time and energy towards their public media station.

PLEASE NOTE: If you'd like a copy of this nomination form, please print it from your browser before clicking "Submit."
Once submitted, your form will be automatically sent to the NFPB Awards Committee Chairperson.
If needed, a member of the NFPB Awards Committee will contact you for additional details.
Click here to read about previous recipients of the DISTINGUISHED SERVICE AWARD.

PLEASE NOTE: If you'd like a copy of your completed nomination form, please print it from your browser before clicking "Submit."

NOMINATION FORM FOR THE "DISTINGUISHED SERVICE AWARD"

* Indicates required field

Name of Person submitting the Nomination *

First

Last

Email of Person submitting the Nomination *

Phone Number of person submitting the nomination *

Name of your station's CEO/GM *

First

Last

CEO/GM Email *

Station's Name or Call Letters *

Name of individual being nominated *

First

Last

Email of Nominee *

Phone Number of Nominee *

Station's Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Describe your nominee's "behind the scenes" involvement and activities at your public media station and why he/she should be considered for the "Distinguished Service Award." NOTE: Text box will expand as text is inserted. *

Submit

REMINDER: If you'd like a copy of your completed nomination form, please print it from your browser before clicking "Submit."

SUBMIT ONLINE or direct questions to:
Chair, Dorothy Pacella