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Silver Medal Award Nomination Form

Please submit your nominee's information below. Note that most fields are required in order to equally  judge all nominations. 

Nominee Name: *
Nominee Title: *
Nominee Company: *

The candidate must have achieved success working in one of the following areas listed below. Please give examples on the nominees achieved success.

  • advertising agency
  • advertiser
  • media or technology contributing to the advancement of marketing
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The candidate must show evidence of a consistent and high degree of creative, original thinking in whatever phase of advertising he or she has worked. Please give examples on the nominees creativity in advertising.

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The candidate must have worked toward increasing the stature and raising the standards of the advertising profession. Please give examples below. 

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The candidate must have contributed to the development of others in the advertising industry through professional, civic and community activities. Please give examples below. 

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Please provide a short bio for your nominee: *
LinkedIn profile link: *
Please upload a photo of your nominee.

NOMINEES SHOULD NOT BE AWARE OF THIS SUBMISSION IN ADVANCE

Please provide a key contact below for the nominee (i.e. office contact, assistant, etc).

Contact Name: *
Phone: *
Email Address: *

Please provide a note of personal recommendation as to why you feel this person should be considered for selection of the Silver Medal Award. 

First Name:
Last Name:
Your Email address:
Your Phone Number:


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