Florida Chapter of the National Emergency Number Association

Jim Martin Award Nomination Form

The Jim Martin Award was established by the Florida Chapter of the National Emergency Number Association. The award is presented annually to an individual who has performed outstanding service and selfless dedication to the Florida Chapter of NENA. This award is named for Jim Martin, who served for many years as Florida’s Statewide 911 Coordinator.


Nominee Name:
Nominee Agency:
Nominee Job Title:
Nominee Agency Address:
Nominee City:
Nominee County:
Nominee Agency Phone Number:
Nominee E-mail Address:


Nominator Name:
Nominator Agency:
Nominator Job Title:
Nominator Agency Address:
Nominator City:
Nominator County:
Nominator Agency Phone Number:
Nominator E-mail Address:

The Jim Martin Award is presented annually at our Spring Conference. Members nominated for this

award should reflect the values and promote the mission of the Florida NENA Chapter through

outstanding service and selfless dedication.

Nominee information should include:

• Work history

• Committee work

• Special achievements/awards

• Explanation of why nominee is deserving of this award

Please provide justifciation to support this nomination:
Upload justification document (allowed extensions doc, docx, xls, xlsx, pdf)
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