JESSE STUART MEDIA AWARD

Purpose: To recognize development of media relating to
Kentucky.
1. Any type of media or combination of media.
2. Award presented to the media considered most worthy.
3. Award is plaque and recognition at the annual awards banquet.
4. Must be nominated by KSMA member.
5. Nomination form due by June 1.
Return to:
A.M. Yealey Elementary
10 Yealey Drive
Florence, KY 41042
Ph. 859.282.3333
Name of Person making Nomination:
___________________________________________
Address:
____________________________________________________________________
____________________________________________________________________
Title and description of the media being nominated:
Name of Producer:
___________________________________________________________
Is this media available for preview? ________________________
If available, give name and address of person to contact:
________________________________________________________________________
Other Comments:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
*Reimbursement for mileage, accommodations, and banquet tickets will be made for non-KSMA recipients.