Judy Murphy Award Application
CANDIDATES FOR THE
JUDY MURPHY “CELEBRATING WOMEN’S LIVES” AWARD SHOULD MEET AT LEAST ONE OF THE FOLLOWING STANDARDS:
- Has a passion for helping others
- Is compassionately concerned for other people
- Has a servant’s heart
- Has vision for greater good in face of adversity
- Is a problem solver
(Nominees must reside in Florida. For additional comments, attach sheets if necessary.)
Name___________________________________________________________
Address______________________________City____________Zip__________
Phone_____________________E-Mail_________________________________
Background_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Organization(s) Volunteered For In The Past 12 Months____________________
________________________________________________________________________________________________________________________________________________________________________________________________
Volunteer Activities And Achievements: (Describe the volunteer activities the individual has been involved with, and the achievements and accomplishments the individual has accomplished in these endeavors.) ______
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Impact On Organization: (Describe the impact the individual’s efforts have had on the organization they volunteer for, or the community at large. Include information regarding number of people served, organizations benefited, funds raised, or other relevant information as appropriate.) ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________
TO BE COMPLETED BY THE NOMINATOR
Nominator’s Name_________________________________________________
Address__________________________City____________State____Zip______
Phone____________________E-Mail__________________________________
Nominator’sComments______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________
________________________________________________________________ ________________________________
Signature
Nominee will receive written notification of nomination and nominator.
Mail this completed form to:
Tatum Murphy
605 Endsley Avenue
Altamonte Springs, FL 32701
