The League of Women Voters of Hillsborough County 2015 Lifetime Achievement Award Nomination Form This award is given to an individual who has dedicated his or her life to serving the public through education and advocacy at the local, state, and national levels. Candidate Criteria: 1. Must live in or had community impact on Hillsborough County. 2. Must not currently hold an elected office. 3. Must not be running for an elected office. 4. Must support the LWV principles. To nominate someone, please complete the following: NOMINEE: Name: ________________________________________________________________________ Phone Number: _________________________________ Number of years of service:_________ In 350 words or less, describe why this candidate should be considered (additional comments can be attached) ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ NOMINATING DEADLINE: Postmarked or emailed by 5:00 pm December 1, 2014 SEND NOMINATIONS OR DIRECT QUESTIONS TO: Shirley Arcuri President League of Women Voters of Hillsborough County P.O. Box 1801 Tampa, Florida 33601-1801 Email: [email protected]