E9-1-1 Institute

9-1-1 HONOR AWARDS NOMINATION

   E9-1-1 Institute - 4th Annual Awards Ceremony

   The E9-1-1 Institute is sponsoring its 4th Annual Honor Awards Ceremony where
   heroes and leaders in the 9-1-1 field will be honored jointly by the Institute
   and the Congressional E9-1-1 Caucus on March 13, 2007.

Nomination Form and Instructions

Instructions:

1. Nomination forms are due no later than Monday, February 5, 2007.

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 2006.

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 202.292.4605

Adobe Format Word Format

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E9-1-1 Institute Awards Nomination Web Submission

2007 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 has 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.
Nominee Profile 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.

	NOMINATOR INFORMATION
Nominator Profile	Dr. Mr. Ms. Mrs. Miss
Name of Nominator	First Middle Last
Profession/Occupation
Institution/Organization
Business Telephone
Business Address Line 1
Business Address Line 2
City
State
Zip Code
E-Mail 1
E-Mail 2
Home Telephone
	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 Materials sent by email - contactus@e911institute.org Materials sent by fax - 202-292-4605 Material sent by mail - Address above
	Nomination Form - Adobe format to print and mail Nomination Form - Word format to print and fax or mail
	Thank you for your nomination.

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