Be the Light Award Application - Tom Coughlin Jay Fund

The Judy Coughlin – Be the Light Award

The Judy Coughlin – Be the Light Award is named for the matriarch of the Coughlin family—a devoted wife and mother who played a pivotal role in the founding of the Tom Coughlin Jay Fund. The award will be granted by the Jay Fund annually to an individual, group or team in Northeast Florida, Southeast Georgia or the NY/NJ tri-state area who goes above and beyond to support families who have a child with cancer.

The winner will receive special recognition from the Tom Coughlin Jay Fund and will be featured in a media story and highlighted on social media. The Jay Fund will also make a special tribute gift towards the winner’s cause in their honor.

Requirements:

Nominees should embody Judy's incredible qualities of positivity, joy and selflessness.
Nominees must live in Northeast Florida, Southeast Georgia or the NY/NJ tri-state area.

Please apply using the form below by April 30.

The Judy Coughlin – Be the Light Award Application

Nominee Name(Required)

First Last

Nominee Email(Required)

Enter Email Confirm Email

Nominee Phone(Required)

Nominee City and State (Nominee must live in Northeast Florida, Southeast Georgia, or the NY/NJ tri-state area)(Required)

Why are you nominating this individual/group/team for this award? (500 characters or less)(Required)

What specific accomplishments, contributions or impact on the pediatric cancer community make this nominee deserving of the award? (1,000 characters or less)(Required)

Is there anything else we should know about the nominee? (500 characters or less)(Required)

Approximately how long has this individual/group/team been serving the pediatric cancer community?(Required)

Your Name(Required)

First Last

Your Email(Required)

Your Phone Number(Required)

The Judy Coughlin – Be the Light Award

The winner will receive special recognition from the Tom Coughlin Jay Fund and will be featured in a media story and highlighted on social media. The Jay Fund will also make a special tribute gift towards the winner’s cause in their honor.

Requirements:

Nominees should embody Judy's incredible qualities of positivity, joy and selflessness.

Nominees must live in Northeast Florida, Southeast Georgia or the NY/NJ tri-state area.

Please apply using the form below by April 30.

The Judy Coughlin – Be the Light Award Application