News 6 Getting Results Award Form

1. Your Info *This question is required.

First Name

Last Name

Email Address

Phone Number

2. Nominee Info

First Name *This question is required.

Last Name *This question is required.

Title *This question is required.

Email Address

Phone Number

Why should this person be nominated for the News 6 Getting Results Award? *This question is required.

3. What is your relationship to the nominee? *This question is required.