2023 Northeast Florida World AIDS Day Committee Awards Nomination Form
Instructions to complete:
1. Only one nomination per ballot.
2. Please check only one category per ballot when making nomination.
3. Only one nomination per category.
4. Use the space provided below and back of page. State WHY you are nominating this person or agency, or your nomination WILL NOT be considered.
5. You must print and sign your name below as well as include contact information for your nomination to considered.
6. Use your best writing so the committee can read your nomination.
7. “Canned” nominations will be discarded.
8. Alterations/changes to the ballot are prohibited and those ballots will be discarded.
One category per ballot, Categories are: