2012 Florida Literacy Awards Nomination Form

Submit this nomination form with all other materials before Monday, March 12,2012.

* Person or Organization Nominated:

*

Award Category: Please check the appropriate category for your nominee.

Mary J. Brogan Leadership Award

Flight for Freedom Award

Outstanding Literacy Volunteer Award

Excellence in Education Award

Outstanding Business Partner Award

Suggested information to include in your nomination and/or supplemental materials:
Please attach a document describing why your nominee is a good candidate for recognition.

1) What has been the impact of the nominee's activities on reducing illiteracy?
2) What role has the nominee played in a leadership capacity in the community or organization? (Highlight the nominee's service history)
3) Why does the person, company or organization you are nominating deserve special recognition? Include any interesting or unusual information about the nominee.

Attachments
1) Attach nomination narrative (up to 900 words).
2) Attach supporting document (optional- up to 2 pages).

* Your Name

* Organization/Company

* Street Address

* City

* State

* Zip Code

* Phone Number

* Email Address

* Indicates Response Required