Names and addresses of newspapers with which nominee was associated:

Birth date

Place

Date of death

Place

List nearest living descendants and their addresses:

List accomplishments of nominee:

Complete biography of nominee:

Why do you think the nominee should be included in the Newspaper Hall of Fame?

List sources of information about the nominee, including names and addresses of persons who may supply additional information, and books or other material:

Do you have a picture or photograph of the nominee? If not, where can one be obtained?

Your name

Address

E-mail

Relationship to nominee if any