Nomination Form

2020 Excellence in Policing Awards

Nomination Form
Please note an agency may nominate itself or its own members.

A separate form must be submitted for each award nomination.
Nominator:
Title/Position
Name

First NameLast Name
Agency/Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number

Area CodePhone Number
Relationship to Nominee
Nominee Information:
Who would you like to nominate?

Law Enforcement Officer(s)Police DepartmentProsecutor's OfficePolice Chaplain

Law Enforcement Officer Awards
LEO Award Category

Detective Pablo Santiago Resiliency AwardDetective Joseph Seals Valor AwardOutstanding Youth Engagement Award

Police Department Awards
PD Award Category

Attorney General’s Initiative AwardInnovations in Public Safety AwardOutstanding Community Partnership Award

Prosecutor's Office Awards
PO Award Category

Attorney General’s Initiative AwardAttorney General’s 21/21 AwardInnovations in Public Safety AwardOutstanding Community Partnership Award

Detective Pablo Santiago Resiliency Award

Awarded to an officer that developed an innovative program or initiative to improve officer safety and wellness. Named for Mercer County Sheriff’s Office Detective Pablo Santiago who lost his life to suicide in December 2018. Detective Santiago’s untimely death was the inspiration for the Attorney General’s Statewide Law Enforcement Resiliency Program.
Agency
Nominee:
Program/Initiative Name
Description (Limit 1000 characters): Please provide a brief description of why this officer should receive the Detective Pablo Santiago Resiliency Award. Please include, but do not limit your response to, the program/initiative that this officer has created, how long such programming has been in existence, the number of officers and/or community members that have participated, the impact on the agency and/or community and the basis for starting this program.

0/1000

Detective Joseph Seals Valor Award

Awarded to officer(s) who demonstrated an act of extraordinary bravery or heroism in the line of duty. Named for Detective Joseph Seals, a 13 year veteran of the Jersey City Police Department, who lost his life in the line of duty in December 2019. Detective Seals’ actions on in December 2019 likely saved the lives of many others. No stranger to heroism, in 2008, Detective Seals broke through a window and stopped the rape of a 41-year-old woman on Christmas Eve.
Nominee:
Agency
Description (Limit 2000 characters): Please provide a brief description of why this officer should receive the Detective Joseph Seals Valor Award. Please include, but do not limit your response: Date of the act (must fall between January 1, 2019 and September 30, 2020); Time of day of the act; Location of the act; Other participants in the act (name, rank, unit, etc.); Persons given aid (age, sex, address, type of aid, hospitalization, diagnosis, outcome); Injuries to nominee(s) (treatment, hospitalization, diagnosis); Equipment used at scene; Equipment used by nominee(s); What specific dangers existed; List specifically what the nominee did; Describe the area/scene (entry, path of rescue, hazards, point of rescue, weather, etc.; and Other recognition received by nominee. *

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Attorney General’s Initiative Award

Outstanding efforts by an agency toward advancing one of the Attorney General’s key initiatives, namely “Combatting the Opioid Crisis,” “Reducing Gun Violence” and “Police-Community Relations”.
Agency
Program/Initiative Name
Program Contact
Description (Limit 1000 characters): Please provide a brief description of why this agency should receive the Attorney General's Initiative Award. Please include, but do not limit your response to, the program/initiative that this agency has created, how long such programming has been in existence, the number of officers and/or community members that have participated, the impact on the agency and/or community and the basis for starting this program.

0/1000

Attorney General’s 21/21 Award

Outstanding community outreach efforts by a Prosecutor's Office in advancing the Attorney General’s 21 County 21st Century Community Policing Project.
Agency
Program/Initiative Name
Program Contact
Description (Limit 1000 characters): Please provide a brief description of why this agency should receive the Attorney General's 21/21 Award. Please include, but do not limit your response to, the program/initiative that this agency has created, how long such programming has been in existence, the number of officers and/or community members that have participated, the impact on the agency and/or community and the basis for starting this program.

0/1000

Innovations in Public Safety Award

Awarded to an agency who developed an innovative program or initiative utilizing community policing practices or community-based intervention services to promote public safety. This may also include the use of technology to effectively promote community engagement and outreach.
Agency
Program/Initiative Name
Program Contact
Description (Limit 1000 characters): Please provide a brief description of why this agency should receive the Innovations in Public Safety Award. Please include, but do not limit your response to, the program/initiative that this agency has created, how long such programming has been in existence, the number of officers and/or community members that have participated, the impact on the agency and/or community and the basis for starting this program.

0/1000

Outstanding Community Partnership Award

Awarded to an agency who implemented or strengthened a community partnership or collaboration with community stakeholders to advance public safety.
Agency
Program/Initiative Name
Community Partner Organization
Agency Program Contact
Community Partner Contact
Description (Limit 1000 characters): Please provide a brief description of why this agency should receive the Outstanding Community Partnership Award. Please include, but do not limit your response to, the program/initiative that this agency has created, how long such programming has been in existence, the number of officers and/or community members that have participated, the impact on the agency and/or community and the basis for starting this program.

0/1000

Police Chaplain of the Year

Awarded to an exceptional chaplain who goes above and beyond the normal duties of a police chaplain to serve the needs of the department and community.
Nominee:
Agency
Description (Limit 2000 characters): Please provide a brief description of why this chaplain should be named Police Chaplain of the Year.*

0/2000

Outstanding Youth Engagement Award

Awarded to an Officer who designed and implemented an innovative program or initiative to promote stronger police-youth engagement.
Agency
Nominee:
Program/Initiative Name
Description (Limit 2000 characters): Please provide a brief description of why this officer should receive the Outstanding Youth Engagement Award. Please include, but do not limit your response to, the program/initiative that this officer has created, how long such programming has been in existence, the number of community members that have participated, the impact on the agency and/or community and the basis for starting this program.*

0/2000
Email
example@example.com
Should be Empty:

2020 Excellence in Policing Awards