• All nominees must be between the ages to 18 – 41 at time of submission.

  • Nominees must be a Jacksonville resident (Baker, Clay, Duval, Nassau, or St. John’s Counties) for at least 6 months prior to the nomination submission.

  • The nominee must consent to the nomination. The consent will attest to all facts contained on the form; give permission for publication of the facts; and indicate willingness, barring extreme circumstances, to attend the Jacksonville Young Professional awards ceremony, in its entirety, if the nominee is to be under consideration for the Jacksonville Young Professional award.

  • All information must be included with this form.

  • At least 5-10 photos pertinent to nomination. (Community service related, work related, family related, etc.) At least one (1) high-resolution color head and shoulder photo is required (digital preferred).

  • Digital and mailed submissions are permitted.

  • All entries must be postmarked (if mailed) or received (if emailed) no later April 15, 2016 for use in ceremony and submitted to:




Mail submissions/payment:
Jacksonville Jaycees
P.O. Box 10817
Jacksonville, FL 32247

  • Up to ten (10) attachments of back-up material (additional recommendation letter, newspaper articles, copies of awards, videos (DVD), commendations, etc.).

  • All questions on the Nomination Questionnaire MUST be completed. Any incomplete or partial applications will not be considered.