Distinguished Member Award Nomination Form 2026

The purpose of the Leadership Florida Distinguished Member Award is to recognize a Leadership Florida member whose continued leadership activities, outside of their professional responsibilities, have exemplified the highest standards of Leadership Florida and whose activities achieved results or set an example of statewide influence.

*Nominated individuals must be a current Leadership Florida member who is active in the organization, meaning they are current on their dues, have served in leadership roles with Leadership Florida on occasion and/or regularly attends Leadership Florida events.

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Nominator Name*

First NameLast Name

Co-Nominator Name

First NameLast Name

Nominator Email*

example@example.com

Co-Nominator Email

example@example.com

Nominator Region*

Nominee Name*

First NameLast Name

Nominee Email*

example@example.com

Previously Nominated*

YesNoDon't Know

List the most significant roles in professional and/or civic activities.*

Describe why the nominee is deserving of this award.*