Jefferson Awards Application 2013

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KSBW-TV . 238 John Street . Salinas, CA 93901 . Phone (831) 758-8888 Aached is the official nomination form for KSBW-TV Jefferson Awards and a sample nomination for your reference. All information must be complete to qualify. DO NOT USE PENCIL. A panel of judges will review each qualifying nominee. Six nominees will be honored locally by KSBW-TV and will receive the Franklin Mint Gold Medallion. One of the honorees will be selected by a panel of judges at the national office to be honored in Washington, D.C. in June 2012. Your nomination is limited to the following 3 pages: Page 1 is the cover sheet which contains the recipient contact information and the nominator contact information. Page 2 is the one page nominee bio which answers the 6 questions posed in the biography instructions. Page 3 should include the nominee’s name and two references, other than yourself who can verify the nomination information. Be sure to include the reference name, address, phone number and email address. Please do not submit any aachments such as pictures, videos or any other addendum. Completed forms should be mailed or emailed back to KSBW-TV. The address is KSBW-TV, 238 John Street, Salinas, CA 93901. You can fax or email it to the aention of Theresa Wright at (831) 424-3750 or [email protected]. All entries must be received no later than 4:00PM on Friday, February 1, 2013. Incomplete entries and entries received after that date and time will not be accepted. “16 th Annual KSBW Jefferson Awards” Nomination Form

Transcript of Jefferson Awards Application 2013

Page 1: Jefferson Awards Application 2013

KSBW-TV . 238 John Street . Salinas, CA 93901 . Phone (831) 758-8888

Attached is the official nomination form for KSBW-TV Jefferson Awards and a sample nomination for your reference. All information must be complete to qualify. DO NOT USE PENCIL.

A panel of judges will review each qualifying nominee. Six nominees will be honored locally by KSBW-TV and will receive the Franklin Mint Gold Medallion. One of the honorees will be selected by a panel of judges at the national office to be honored in Washington, D.C. in June 2012.

Your nomination is limited to the following 3 pages:

Page 1 is the cover sheet which contains the recipient contact information and the nominator contact information.

Page 2 is the one page nominee bio which answers the 6 questions posed in the biography instructions.

Page 3 should include the nominee’s name and two references, other than yourself who can verify the nomination information. Be sure to include the reference name, address, phone number and email address.

Please do not submit any attachments such as pictures, videos or any other addendum.Completed forms should be mailed or emailed back to KSBW-TV. The address is KSBW-TV, 238 John Street, Salinas, CA 93901. You can fax or email it to the attention of Theresa Wright at(831) 424-3750 or [email protected].

All entries must be received no later than 4:00PM on Friday, February 1, 2013. Incomplete entries and entries received after that date and time will not be accepted.

“16th Annual KSBW Jefferson Awards”Nomination Form

Page 2: Jefferson Awards Application 2013

KSBW-TV . 238 John Street . Salinas, CA 93901 . Phone (831) 758-8888

CONTACT INSTRUCTIONS:In your email, please include the following contact information:

Media Partner Information:KSBW-TVTheresa Wright(831) [email protected]

Recipient Information:Full NameStreet AddressCity, State ZipPhone NumberEmail Address

Nominator Information:Full NameStreet AddressCity, State ZipPhone NumberWork Phone NumberEmail Address

DUE 4PM, FEBRUARY 1, 2013

STEP 1 - EMAIL YOUR ONE-PAGE BIOGRAPHIES AND CONTACT INFORMATION IN A WORD DOCUMENT OR PDF FILE TO: [email protected]

“16th Annual KSBW Jefferson Awards”Nomination Instructions

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1. How has this nominee impacted the community?

2. Has this individual overcome a personal obstacle?

3. How many years has this nominee given his/her time and resources to help the community?

4. What makes this individual deserving of the Jefferson Award?

5. Is this service volunteer or a paid position?

6. Please list other service accomplishments.

BIOGRAPHY INSTRUCTIONS:Please use the following questions to help assist you while writing the biography. The biography you submit will be reviewed by the Board of Selectors for the consideration in choosing the recipients of the Jacqueline Kennedy Onassis Award for Outstanding Public Service Benefitting Local Communities, which is presented in Washington, DC at the National Ceremonies.

KSBW-TV . 238 John Street . Salinas, CA 93901 . Phone (831) 758-8888

“16th Annual KSBW Jefferson Awards”Biography Instructions