Grassroots Advocacy (Nomination form)

GRASSROOTS ADVOCACY AWARD

Nominations are closed for 2018.

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 GRASSROOTS ADVOCACY 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 GRASSROOTS ADVOCACY 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 GM/CEO *

First

Last

CEO/GM Email *

Station's Name or Call Letters *

Is nominee a volunteer or staff volunteer coordinator *

Volunteer Volunteer Coordinator (staff)

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 grassroots advocacy involvement and activities at your public media station and why he/she should be considered for "The Grassroots Advocacy 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