Gold & Silver Circle Application

Nominee Information
Work History
Indicate station/company, and job title.
How should the nominee’s name and title appear?
If selected this is how the person’s name will be inscribed on the plaque. The title will be used for publicity and program book.
Supporting Information
All sponsors and references are required to submit a letter of recommendation/essay as part of this application describing why the candidate should be recognized.
Please be sure to contact each reference person you list below and ask them to send their letter of recommendation via email to: administrator@nataslgl.org
Supporting materials should include, but are not limited to:
  • Letters of recommendation from colleagues, community leaders, or anyone who can speak to the degree and significance of the nominee’s impact on television and their community.
  • Listing of awards/recognition received by nominee throughout his/her career.
  • Newspaper, magazine, trade publication articles featuring the nominee and his/her accomplishments.
  • Photographs of historical interest to nominee's career.
No videos will be accepted/considered.
Submitter's Information
Please state, in your own words, the reasons this person should be inducted into the Silver or Gold Circle. Cite specific examples and dates.