Nomination Form
Nominee: ________________________________________________________
Address: ________________________________________________________
(street, city, state, ZIP)
Email: ________________________________________________________
High school: _______________________________________________________
Address: ________________________________________________________
Nomination submitted by: ____________________________________________________
Title: ________________________________________________________
Telephone number (day): ___________________________________________________
Email: ________________________________________________________________
List all materials submitted with this entry:
________________________________________________________
________________________________________________________
________________________________________________________
How did you learn about this opportunity? ________________________________________
Send entries to:
Northern Illinois Newspaper Association
c/o Shelley Hendricks
Campus Life Building, Suite 130
DeKalb, IL 60115
Deadline: April 9, 2021
Northern Illinois Newspaper Association 