Radio and Television News Association of Southern California

Lifetime Achievement Award
Nomination Form

Print out the form after filling it out on-line, and include it in a nomination package that also contains:

A one- or two-page letter explaining why this individual is worthy of this recognition;
A resume or short biography detailing the nominee's career experience and accomplishments; and
Letters of support from individuals, organizations, or news operations.

Completed nomination packages should be mailed to:

Radio & Television News Association
5710 E. 7th St.
#281
Long Beach, CA 90803

NAME OF INDIVIDUAL BEING NOMINATED:
Address:
City:
State:
Zip Code:
Phone:
E-mail:

NOMINATED BY:
Company:
Address:
City:
State:
Zip Code:
Phone:
E-mail: