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Nominee Info
Name of Firefighter Nominated
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Layout
IAFF Number
Area Firefighter Was Serving
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Company or Station Number
Position/Rank
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Firefighter
Senior Firefighter
Engineer
Captain
Unknown
Other (specify below)
Other Position/Rank
*
Quality to Highlight
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check as many as apply
Firefighting skills
Influence to fire service culture
Appearance/Professionalism
Firefighting scholarship, training
Community interactions
Attitude
Fitness
Inter-department teamwork, leadership
Other (specify below)
Other Quaility
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Additional Details
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Your Info
Your Relationship to Nominee
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Your Name
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Your Contact Phone Number
Email
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