OHIO COMMUNITY THEATRE ASSOCIATION
HALL OF FAME NOMINATION FORM – 2009 Inductees are chosen for outstanding contributions to the promotion of theatre arts in Ohio. NOM INATED BY: NAME: ADDRESS: CITY:
STATE:
ZIP:
PHONE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PERSON OR ORGANIZATION BEING NOM INATED: NAME OF INDIVIDUAL OR ORGANIZATION: ADDRESS: CITY:
STATE:
ZIP:
PHONE: THEATRE AFFILIATION: REGION: ANY OFFICES HELD (I.E. OCTA, LOCAL THEATRE, ETC):
CIVIC INVOLVEMENT:
THEATRICAL INVOLVEMENT:
LIST ANY NOTABLE ITEMS OF INTEREST INCLUDING ANY AW ARDS EARNED:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - The following must be completed and submitted to the Ohio Community Theatre Association: 1) Please write an essay in 500 words or less why you feel this candidate should be a part of OCTA’s Hall Of Fame. 2) Please include 2 letters of recommendation. 3) If the nominee is an individual, please include a photo – 5”x7” or larger. 4) Inductees will be selected by a five-person committee of OCTA Board Members. 5) Public announcement of Inductees will be at the Annual Conference held on Labor Day weekend. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - CHECKLIST OF SUBM ISSION
Application
Essay
2 Letters of Recom m endation
DEADLINE: Please subm it entry by July 18, 2009 to: Jerry Zim m erm an P.O. Box 7 Ft. Jennings OH 45844 419-296-5157 419-286-2662