Nomination Form: BC Wildland Firefighter Awards
Note: An asterisk indicates that this is a required field
Nominee Information
Name of Nominee
*
First Name
Last Name
Job title:
*
Organization Affiliation:
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
How does the nominee identify?
Indigenous
Non-Indigenous
Other
Which Nation or Band is the nominee from?
Please select the award category that applies to the nominee:
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Vanguard Award (early career firefighter: less than five years)
Guardian Award (long-standing firefighter: five + years)
Wildland Firefighting Experience
How long has the Nominee been involved in wildfire response?
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Please describe the nominee’s role in more detail.
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0/300
Does/Did the nominee train or mentor other wildland firefighters?
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Yes
No
Please describe how the nominee has demonstrated excellence in wildland firefighting that positively contributes to their team/community.
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0/300
Please describe how the nominee reflects the BC Wildland Firefighter Awards award values: Safety, Leadership, Courage, Respect, Passion, Integrity, Teamwork and Collaboration
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0/300
Please describe how the nominee has made efforts to build wildfire resiliency and reduce the negative impacts of fire for everyone in the province.
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0/300
Please include any additional information to support why this individual should be considered for the BC Wildland Firefighter Awards award.
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0/300
Would the nominee be able to travel to Prince George to attend the Wildfire Resiliency and Training Summit (April 20-24) to receive their award? Travel costs for the nominee and one guest will be covered.
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Yes
No
Depends (Please explain)
Note: The exact date/time for the BC Wildland Firefighter Awards honour ceremony is still being determined
To be completed by person submitting nomination
Name:
*
First Name
Last Name
Job Title
*
Home or Office Phone:
Please enter a valid phone number.
Cell:
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
*
example@example.com
Nominations will close Thursday, February 28, 2024
Submit
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