30th Annual Luncheon Recognition Award Nomination Form

30th Annual Child Abuse Prevention Awards Luncheon

2026 Recognition Award Nomination Form
Exchange Club Family Center's 28th Annual Child Abuse Prevention Awards Luncheon will be held Thursday, April 16, 2026, 12:00-1:30 PM at Adam W. HerbertUniversity Center located at The University of North Florida.

All nominations for Recognition and Lifetime Achievement Awards are due by March 1, 2026. Completed forms may be emailed to Julie Farhat at jfarhat@exchangeclubfamilycenter.com or submitted here below.
Nominee Information

Please complete the information below about the individual your organization would like to nominate for recognition at the 30th Annual Child Abuse Prevention Luncheon for his or her contribution to the prevention of child abuse. Please type or print clearly and complete all information.
NOMINEE'S NAME /TITLE
PROGRAM (If any)
AGENCY/ORGANIZATION
ADDRESS
CITY, STATE, ZIP
TELEPHONE
NOMINEE'S ROLE:

StaffBoard MemberVolunteerOther
Please indicate here if you like this individual to be considered for a LIFETIME ACHIEVEMENT AWARD.

Yes
Nominator Information
NAME/TITLE
TELEPHONE
EMAIL
example@example.com
Please include a brief description of the nominee's contributions to Child Abuse Prevention.
DATE

MonthDayYear
Date
NOMINATED BY SIGNATURE

Clear
Please visit our website for additional information: www.exchangeclubfamilycenter.com

Conference Location: UNF Adam W. Herbert University Center, 12000 Alumni Dr. Jacksonville, FL 32224

Thank you for your nomination and we look forward to seeing you at the 28th Annual Child Abuse Prevention Luncheon!
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30th Annual Child Abuse Prevention Awards Luncheon

Nominee Information

Nominator Information