E9-1-1 Institute
  

 


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   E9-1-1 Institute - 3rd Annual Awards Ceremony


   The E9-1-1 Institute is sponsoring its 3rd Annual Awards Ceremony where
   heroes and leaders in the 911 field will be honored jointly by the Institute
   and the Congressional E9-1-1 Caucus on
March 8, 2006.
 

Nomination Form and Instructions

Instructions:

1.  Nomination forms are due no later than Tuesday, January 31,  2006.

2.  These awards will honor individuals or groups of individuals who have shown dedication
      and leadership that relates to the mission of the E9-1-1 Institute, which: 

  • Serves as an information clearinghouse on E9-1-1 and emergency communications issues and distributes timely, relevant information to Members of Congress, Administration officials, federal, state, and local public safety officials, and the general public;
     
  • Creates a forum for policy discussions related to E9-1-1 and emergency communications that will benefit public policy development; and
  • Assists members of the Congressional E9-1-1 Caucus in promoting public education on E9-1-1 issues.

3.  Actions that are eligible are actions that took place during calendar year 2005.

4.  In addition to this form, you are welcome to submit additional information, such as:

  • Press coverage
  • More detailed materials
  • Other relevant information

*The Committee may consider additional information but the nomination form will be the primary information source.  Please keep in mind that quality is more important than quantity.

5. You can submit your materials by:

  • Website:  Submitting a form through the E9-1-1 Institute website is encouraged and preferred.
  • Mail      The E9-1-1 Institute
                   Nomination Form
                   317 Massachusetts Avenue, NE
                   Washington, DC  20002
  • E-Mail:   Please send to the Institute at contactus@e911institute.org
     
  • Fax:      Please fax to the E9-1-1 Institute at 202.292.4061
     

E9-1-1 Institute Awards Nomination Form

2006 Award Categories and Descriptions

Please indicate the award for which you are
nominating this candidate

Citizen In Action Award
 


9-1-1 Call Taker/ Dispatcher Award

 

 


First Responder Award


 



Government Leader Award (Federal)

 


Government Leader Award (State/Local)


 


Industry Professional Award
 



Media/Entertainment Award




Outstanding 9-1-1 Program

 

  The Citizen in Action award honors someone who demonstrated Exceptional Bravery and Heroism to save a life in a critical time use
9-1-1.



This award honors the "First First Responders" - the 9-1-1
Call-Takers
and Dispatchers who are on the front line everyday.  Candidates for this honor should have a proven track record of service in the field and a reputation for going the extra mile on behalf of emergency callers.


The First Responder Award recognizes the individuals that 9-1-1 people call - e.g. Law Enforcement, Fire-Rescue and/or Emergency Medical Providers --for their professionalism, initiative, creativity or diligence in assisting a person reporting and/or experiencing an emergency situation.


This award recognizes the Federal Government Leader that has done the most to advance the capabilities of 9-1-1 emergency communications.


This award recognizes the State or Local Government Leader that has done the most to advance the capabilities of 9-1-1 emergency communications.


The Industry Professional Award honors an individual or organization in the commercial sector that has demonstrated exceptional contributions toward the advancement of emergency 9-1-1 communications.


This award recognizes the Media or Entertainment individual or organization that has done the most to improve public understanding and support for E9-1-1 emergency communications.
 

This award recognizes a Regional 9-1-1 Programs, Individual Call Centers and PSAPs for their excellence in handling emergency situations reported to 9-1-1, for the manner in which it exemplifies the
9-1-1 profession or for the manner by which it utilizes technology in conjunction with 9-1-1.


 

Preferred Prefix Dr. Mr. Ms. Mrs. Miss
Name of Nominee First
Middle
Last
Profession/Occupation
Institution/Organization
Business Telephone
Business Fax
Business Address 
Line 1
Business Address
Line 2
City
State
Zip
E-Mail 1
E-Mail 2
Home Address Line 1
Home Address Line 2
City
State
Zip Code
Home Telephone
Home Fax
  1. Describe the nominee and the circumstances and/or actions that qualify the nominee for this award.
 
2. Why do you think this person or organization should be honored with this particular award?
 
  3. Please provide any other relevant information about the nominee, including professional awards, community honors, other areas of recognition received by the nominee (Please include information about the relative significance, scope, and prestige of awards and recognitions) or extraordinary circumstance which highlights the great achievement of the nominee.
 
   
Nominee Profile Dr. Mr. Ms. Mrs. Miss
Name of Nominee First
Middle
Last
Profession/Occupation
Institution/Organization
Business Telephone
Business Fax
Business Address
Line 1
Business Address
Line 2
City
State
Zip Code
E-Mail 1
E-Mail 2
Home Address Line 1
Home Address Line 2
City
State
Zip Code
Home Telephone
Home Fax
Name of Nominator First
Middle
Last

E-Mail
 
  Please email or mail additional materials to the E9-1-1 Institute at: contactus@e911institute.org

The E9-1-1 Institute
% Nomination
317 Massachusetts Avenue, NE
Washington, DC  20002

  Nomination Form - Adobe format to print and mail
 

Thank you for your nomination.

   
 




 
 
 

 
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