In order to make things easier, the executive board would like to see the following form used to identify persons who you think should receive N.A.W.E.O.A. awards.
Name of Person to Receive Award: ____________________________________________________________________________ (Surname) (First name) Address: ________________________________________________________________________________ (Street) (City) (Country) (Code) Jurisdiction: _____________________________________________________________ Title: _____________________________________________________________________ Name of Person Submitting Award Application: ____________________________________________________________________________ (Surname) (First name) Address: ________________________________________________________________________________ (Street) (City) (Country) (Code) Jurisdiction: _____________________________________________________________ Title: _____________________________________________________________________ e-mail: _____________________________________________________________________ Date Submitted: ___________________ Award Category (Check): Award of Appreciation _____ Award of Valor _____ Certificate of Award _____ Certificate of Retirement _____ Lifesaving _____ Torch Award _____ Criteria: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Please use additional sheets if necessary) I need this certificate by (date): ___________________________________ Award to be presented at N.A.W.E.O.A. Annual Conference Yes_____ No____ Please mail to the Secretary/Treasurer allowing plenty of time to process. Make additional copies as needed.