Black History Coverage Nomination
Please complete one Nomination Form for each person, place, or event that you are looking to receive coverage.
Please provide your contact information.
Full Name
*
First Name
Last Name
Email
*
example@example.com
Nomination Type
*
Person
Place
Event
Other
Please provide contact information for the Nominee.
Full Name
First Name
Last Name
Home E-mail
example@example.com
Personal Phone Number
Format: (000) 000-0000.
Name of Location
Location Address
Name of Event
Date of Event
-
Month
-
Day
Year
Date
Please explain your nomination in 3-5 sentences.
Submit Form
Should be Empty: