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Silver Medal Award Nomination Form

The Silver Medal Award program was created in 1983 to recognize a distinguished member of the Chicago advertising community for their contributions to the advertising profession, mentorship, support for the broader community, and their accomplishments.

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

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.


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


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

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


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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