Holiday Networking Luncheon & Toy Drive Award Nominations

Champion in Recovery

This is a person who is in recovery that demonstrates the spiritual principals of recovery. This person is a leader is the community & state.

Difference Maker

This person is someone that truly exemplifies leadership with their Inspiration of Others. Whose passion to make a difference through mentorship and being a role model in our community and state.

First Responder Community Champion

This individual is a member of the first responder community (Law Enforcement, Fire, Rescue, EMT, Paramedics, Dispatchers) who have demonstrated outstanding responder leadership in their community with acts of valor as well as going above the call of duty.

First Responder of the Year

*Nominations for Awards must be received by no later than October 15th, 2024.

Holiday Networking Luncheon & Toy Drive Award Nominations
Please note before you complete application. You must be a Sworn First Responder or married to a first responder and also live in Mississippi
Categories & Criteria
Please check all that apply
- Champion in Recovery
- Difference Maker
- First Responder Community Champion
- First Responder of the Year
Nominator:
Name
First Last
Nominator Organization*
Contact Number (Cell)*
Nominator Email
About The Nominee
Name
First Last
Agency/Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Nominee Email*
Contact Number (Cell)*
Years of Service*
Department*
Position (Rank if Applicable)*
Discipline
- Law Enforcement
- Fire
- EMS
- Paramedics
- Communications/Dispatch
Medals/Recognition History*
Supervisor Name
First Last
Supervisor Number (Cell)*
Supervisor Email
How has the nominated individual demonstrated this nomination, please be very specific?
Please provide any additional information that would be helpful in understanding why this individual should be considered for this award.
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Holiday Networking Luncheon & Toy Drive Award Nominations

Champion in Recovery

Difference Maker

First Responder Community Champion

First Responder of the Year

Holiday Networking Luncheon & Toy Drive Award Nominations

Nominator:

About The Nominee