2023 Award Nomination Form
Please fill the form below accurately and ensure you indicate category and nominee name.
Award Nominee Information:
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Telecommunicator of the Year
Communications Center Director of the Year
Line Supervisor of the Year
Team Award of the Year
Trainer of the Year
Radio Frequency (RF) Technologist of the Year
Information Technologist of the Year
Nominee Information
Please indicate details about the person you are nominating.
Nominated Person
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Job Title
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Agency/Center
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Work Address
Street Address
Street Address Line 2
City
State / Province
E-mail
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Phone Number
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Area Code
Phone Number
Nominator:
Please provide details about yourself, the person submitting this form.
Please Provide Your Full Name Below
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First Name
Last Name
Agency/Center
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Your Job Title
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E-mail
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Phone Number
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Area Code
Phone Number
Nomination Responses
Individually answer each question listed below for the person you are nominating.
Question #1. Describe the nominee’s public safety communications agency. Please include staffing levels,size, and discipline (law, fire, Ems, PSAP only, etc.).
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Question #2. Describe the nominee’s daily responsibilities and any additional pertinent duties and responsibilities. If applicable, tell us how long the nominee has been at this job and any previous public safety communications positions the nominee has held.
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Question #3. Describe how the nominee functions as a team player.
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Question #4. Describe how the nominee or team demonstrates knowledge of the profession and flexibility in task assignments. Provide an example of how the nominee or team may go above and beyond what maybe required of an individual in this position.
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Question #5. If applicable, describe the nominee’s ability to interact with others and successfully forge positive relationships with individuals at all levels: (consider citizens, subordinates, peers, administration, other entities within the emergency services profession, etc.
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Question #6. If Describe any attributes, actions, or practices that make the nominee or team exceptional compared to other PSAP personnel or teams in the same line of work. (What sets them apart?)
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Question #7. In one page or less, describe why the candidate or team should receive the 2023 Public Safety Award from the Mid-Eastern Chapter of APCO.
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Once you hit the submit button, please scroll back to the top to view confirmation. Please note that you will also receive an email confirmation. Thank You!
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