Nomination Form

NOMINATION FORM
Oklahoma Journalism Hall of Fame

Department of Mass Communication
University of Central Oklahoma
Edmond OK 73034-5209

Please use this form to submit a nomination for the Oklahoma Journalism Hall of Fame. However, if you wish, you may send the information below via e-mail to ssump@ucok.edu.

Date
Nominee Name
Date of Birth
Place of Birth
Date of Death
Place of Death
Telephone
Fax

List nearest living relatives and their addresses:

Describe accomplishments that you believe should qualify the nominee for the Hall of Fame. Be specific:

Complete biography of nominee:

If you are unable to provide a photograph, where may one be obtained?

Tell us how to get in touch with you:

Name
High School or College
Street Address
City, State, Zip
Country
E-mail
Telephone
Fax

University of Central Oklahoma
Department of Mass Communication
Communications Building, Room 210
100 N. University Drive, Edmond, OK 73034-5209
Phone: (405) 974-5303 Fax: (405) 974-5125
E-mail: ssump@ucok.edu

University of Central Oklahoma Department of Mass Communication Communications Building, Room 210 100 N. University Drive, Edmond, OK 73034-5209 Phone: (405) 974-5303 Fax: (405) 974-5125 E-mail: ssump@ucok.edu

University of Central Oklahoma
Department of Mass Communication
Communications Building, Room 210
100 N. University Drive, Edmond, OK 73034-5209
Phone: (405) 974-5303 Fax: (405) 974-5125
E-mail: ssump@ucok.edu