Ontario Broadcast Order of Achievement Entry Form

The OAB Broadcast Order of Achievement has three levels of recognition:

Bronze for 10-14 years of service
Silver for 15-24 years of service
Gold for 25+ years of service

Applicants have the option of attending the OAB Gala Awards Dinner where they will be presented with their certificates. Persons wishing to be recognized for their tenure in broadcasting may do so by below. Please refer any questions to member services. Entries received after October 20th will be acknowledged at next year’s conference.

First Name*
Last Name*
Home Address*
City*
Province*
Postal Code*
Telephone*
Mobile
Email*
surname when you entered broadcasting if different from above:
nickname, if generally used in industry relationship:
Current Employment
Station or Company:
Position
Company Phone
Company Fax
Membership certificate - indicate below how you would wish your name to appear on your certificate:
Date of first employment in broadcasting industry (Bronze 10-14 years of service; Silver 15-24 years of service; Gold 25+ years of service):
Total number of years in industry as of December 31st of previous year:
Names of two people in the industry who will endorse your application.
Name / Phone / Email (Person One)
Name / Phone / Email (Person Two)
Career Achievements
Attach a short resume or bio (PDF, MS Word, Open Doc)
Drop files here or

Accepted file types: pdf, doc, docx, jpg, odf, Max. file size: 5 MB, Max. files: 5.
Name
This field is for validation purposes and should be left unchanged.

The information collected on this form is retained for the purpose of identifying BOA members and adheres to the Ontario Association of Broadcasters’ Privacy Policy.

Ontario Broadcast Order of Achievement Entry Form

Current Employment

Names of two people in the industry who will endorse your application.

Career Achievements

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