Florida CERT Association Awards Nomination Form

The Florida CERT Association Awards will be presented at the annual Florida CERT Conference. For more information about the conference and how to attend visit flacertassociation.org

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* 1. Nominator Information

Name

Organization / Title

Email Address

Phone Number

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* 2. Nominee Information

Name

Organization

Email Address

Phone Number

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* 3. Award Category - Select one

Silver Star Award - Presented to an individual in Florida whose dedicated, unselfish and enthusiastic service has contributed to the growth and development of the CERT and Emergency Management communities.

Distinguished Service Award - Presented to a long-standing Florida CERT volunteer who has demonstrated extensive leadership through sustained and significant contributions to the CERT organization.

Florida CERT Team of the Year - Presented to the Community Emergency Response Team that created/implemented an initiative and/or innovation that improves the ability of their CERT program to achieve innovative and sustainable practices in emergency management to make their jurisdiction safer, stronger, better prepared, and more resilient (e.g. in the areas of public education, training and engagement; government/non-government partnerships and integration of services, capacity building, etc.)

Florida CERT Member of the Year - Presented to a CERT volunteer for outstanding contribution to their CERT program and community as an unpaid program manager, instructor, team leader or general volunteer.

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* 4. Will the nominee be in attendance at the Florida CERT Conference?

Yes

Unsure

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* 5. Supporting Documentation - Articles, photos, letters of recommendation, and any other documentation supporting why this nominee should be selected.

Photos of winners will be needed for awards presentation.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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