Michigan Broadcasting Hall of Fame Nominations Form

Criteria: A Michigan Broadcasting Hall of Fame inductee is chosen based on his/her distinguished professional career in Michigan broadcasting. The inductee in his/her career has exemplified integrity, innovation, achievement, leadership, contributions to the industry and has been a positive influence on individuals in the profession. The nominee may hold or have held any position with in the industry. Please indicate the category that best describes the nominee: Management Active (Nominees in this category are currently in active management roles within the broadcast industry), Talent (On-Air) Active (Nominees in this category are currently in active On-Air roles at broadcast stations) and Pioneer (Nominees in this category are currently retired or deceased. These individuals have made a lasting impact on the broadcast industry through years of dedicated work).

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NAME OF NOMINEE:*
CURRENT TITLE or POSITION:*
BUSINESS NAME*
BUSINESS ADDRESS:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
TELEPHONE:*
EMAIL:*
Hall of Fame Nominee:*
- Management Active
- Talent (On-Air) Active
- Pioneer (Retired or Deceased)
(for posthumous nominations only) NAME, ADDRESS, TELEPHONE AND EMAIL OF NEAREST SURVIVING FAMILY MEMBER:
Summary of Major Contributions*
Accepted file types: doc, docx, docm, dot, pdf, Max. file size: 150 MB.
Summarize on a separate sheet, the nominee’s major contributions to broadcasting as well as community service, giving specific dates and stations and/or other affiliations.
Resume or Biography*
Accepted file types: doc, docx, docm, dot, pdf, Max. file size: 150 MB.
Attach the resume or biography of the nominee
Additional Documents
Accepted file types: doc, docx, docm, dot, pdf, wmv, mov, mp4, jpg, jpeg, mp3, Max. file size: 150 MB.
Attach any relevant documents that support the nomination such as clips, tapes, supporting letters of recommendation, etc. (Optional)
Additional Documents
Accepted file types: doc, docx, docm, dot, pdf, wmv, mov, mp4, jpg, jpeg, mp3, Max. file size: 150 MB.
Attach any relevant documents that support the nomination such as clips, tapes, supporting letters of recommendation, etc. (Optional)
Additional Documents
Accepted file types: doc, docx, docm, dot, pdf, wmv, mov, mp4, jpg, jpeg, mp3, Max. file size: 150 MB.
Attach any relevant documents that support the nomination such as clips, tapes, supporting letters of recommendation, etc. (Optional)
YOUR NAME:*
RELATIONSHIP TO NOMINEE*
TELEPHONE*
EMAIL*