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TBS Pathfinder Nomination Form

NOMINATOR'S INFORMATION

Name of Nominator (Person submitting form)

Nominator’s Home Address

Nominator’s Email address

Nominator’s Primary Phone

NOMINEE'S INFORMATION

Category of Nomination

Name of Nominee (Person you are nominating)

Nominee's Home Address

County Nominee Resides

Nominee’s Email Address

Nominee’s Primary Phone

NON-PROFIT OVERVIEW
All Non-Profits must be 501c(3) Status

Name of Organization (Nominee represents)

Organization's Address

Organization’s web address

Target Audience

Number of people served

List Funding Sources

Brief Description of Service to Community

ABOUT THE NOMINEE

How does this nominee give to the non-profit?

What makes your nominee a Pathfinder?

How is this person a role model to others?

List of Nominee’s Community and Civic Involvement

List Awards, Certificates, and other Credentials Nominee has received

MONEY, BROADCAST EXPOSURE, WEBSITE PRESENCE, OUTREACH ASSISTANCE

TBS Public Affairs donates more than $40,000
to Greater Atlanta non-profits at the annual
TBS Pathfinders Award Celebration.

Stories featuring the TBS Pathfinders and honored non-profits air on TBS Public Affairs' Saturday morning program TBS STORYline.

Descriptions of the TBS Pathfinders' volunteer service are placed on www.tbsstoryline.com with a link to the honored non-profits' websites.

TBS Public Affairs’ Emmy Award winning producers
create Public Service Announcements [PSAs] for the honored organizations. These PSAs, valued at
more than $12,000, help the organizations reach
out to the community and potential funders.

TBS Public Affairs invites TBS Pathfinders
and honored non-profits to an awards celebration
where they are honored.

You may mail the following information to accompany the nomination:
Copies of Articles,
Newsletters and/or Awards,
Letters of Support from clients
Please include a cover sheet with your name (the nominator)
and nominee’s name.

Mail to:
TBS Public Affairs, Attn: TBS Pathfinders
1050 Techwood Drive NW
Atlanta, GA 30318

PLEASE NOTE: A copy of non-profit organization’s 501(c) (3) status documentation must be mailed to:

TBS Public Affairs, Attn: TBS Pathfinders
1050 Techwood Drive NW
Atlanta, GA 30318

Submission Deadline: September 29, 2006