2020 Valor Awards Nomination Form

2020 Valor Awards Nomination Form

The Greater Springfield Chamber of Commerce Valor Awards recognize and honor first responders who serve residents and businesses in our community. The Chamber accepts nominations of public safety heroes from the Fairfax County Police Department, Fairfax County Fire & Rescue Department, Fairfax County Office of the Sheriff and Virginia State Police. Awards are given in recognition of heroic actions on the job, above and beyond the everyday call of duty, in and around the Greater Springfield area. In addition to award recipients and their families, the Chamber's spring Valor Awards Breakfast is attended by area business leaders, community residents, public safety professionals and elected officials.
Awards will be presented for acts of heroism that occured March 1, 2019 through February 29, 2020.

Nominations must be submitted by noon, Friday, March 6, 2020.

Nomination is for

Individual Unit

NOMINEE/UNIT CONTACT INFO

Nominee's Department (police, fire, etc) *

Rank of Nominee

Nominee/Unit Leader's Name

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Nominee's Email *

Nominee's Phone *

Nominee Status *

Volunteer Paid Staff Other

Name of Nominee's Commander/Chief *

Commander/Chief's Email *

NOMINATION SUBMITTED BY

Title

First Name *

Last Name *

Suffix

Nominator's Company or Organization (if applicable)

Address Line 1 *

Address Line 2

City *

State *

Zip/Postal Code *

Nominator's Email *

Nominator's Phone *

Nominator's relationship to Nominee *

SUBMISSION OF NOMINATION

Submit a concise statement. Details are important but the submission, including attachment, should not be longer than four pages.

1. What is the specific act the nominee(s) did to deserve recognition? *

2. Who else was involved in the act (other first responders, person given aid, etc.)? *

3. Date, time and place act took place *

4. If the nominee lives or volunteers in the Greater Springfield community please provide details

5. What other information should our awards committee know about the nominee(s) and/or the person(s) given aid?
NOMINATIONS MUST BE RECEIVED BY NOON, FRIDAY, MARCH 6, 2020. The Valor Awards Committee will make all final selections and notify honorees. Nominators may be contacted for additional information. Awards will be presented at the Greater Springfield Chamber of Commerce's spring 2020 Valor Awards Breakfast.

Supporting material may be uploaded, as a single document, with submission
Please call the Chamber office, 703-866-3500, to arrange another method of submitting supporting documents.

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