2012 Mickey McNulty
FAMILY OF THE YEAR AWARD
The Mickey McNulty Family of the Year Award is given in memory of Judge Mickey McNulty to a family in the
Southern Section that has been outstanding in its participation of & promotion of tennis.
NOMINEE INFORMATION
State:
Family:
Address:
City:
Zip Code:
Telephone Number:
Home:
Work:
Fax:
Contact E-mail:
Family Member Information:
NAME
AGE
RELATIONSHIP
USTA NUMBER
1
2
3
4
5
6
7
8
Father’s Occupation:
Mother’s Occupation:
Family Volunteer Activities:
USTA Tournaments: (List & describe all volunteer activities with tournaments for EACH family member)
USTA Tennis Programs: (List & describe all volunteer activities with adult & junior programs for EACH family
member)
USTA Boards & Committees: (List any USTA committee, board, task force, office, chair position held at the district,
section or state level for EACH family member. Please include dates served.)
Family Tennis Activities:
Tennis Participation: (List any tennis team participation by EACH family member for varsity, club, USTA league,
recreational, etc. Please include years played, any section or national ranking, high school/ college level.)
Tennis Honors & Achievements: (List & describe any tennis honor or achievement for EACH family member.)
Additional Information:
Other: (List & describe any other specific reasons, honors, achievements, outstanding qualities etc for EACH family
member)
Please submit one additional page of information. (i.e: newspaper article, bio page, feature story, etc.)
Nominations will be considered INCOMPLETE without the submission of supporting documents.
_____________________________________________________________________________________________
Please fill out this nomination form on your computer and submit it along with scanned supporting articles,
photos, letters, etc. via e-mail to ltaexecutiveasst@louisianatennis.com on THURSDAY, SEPTEMBER 13th,
2012. Please keep nominations to a maximum of ten (10), 8 1/2” x 11” pages. The awards committee WILL NOT
accept nominations via mail, professionally bound nominations, or oversized posters, videotapes, flipcharts, t-shirts,
etc.
Submitted by:
Title/Position Held:
Phone:
Email: