Nominated By (Please provide your name, email, and contact information.)
The Following Individual(s)/Crew/Squad/Program/Service/Agency/Organization is nominated for:
Outstanding Wildland Fire EMS Individual of the Year Award
– This award honors an EMR/EMT/AEMT or paramedic who has demonstrated independent initiative in the areas of quality assurance, patient care, public access, medical control, disaster preparedness, or public education and/or training, and has demonstrated support, involvement, and dedication to the wildland fire EMS community.
Outstanding Wildland Fire EMS Squad/Crew/Team of the Year Award.
- This award honors a wildland fire squad, crew, or team which has demonstrated independent initiative in the areas of quality assurance, patient care, public access, medical control, disaster preparedness, and public education and/or training, and has demonstrated support, involvement, and dedication to the wildland fire EMS community.
Outstanding Wildland Fire EMS Distinguished Service Award.
- This award recognizes an organization, agency, corporation, institution, or individual who has provided unparalleled service in wildland fire EMS, and in so doing, has greatly enhanced the visibility and awareness of wildland fire EMS. This award is not necessarily given annually; it is reserved for recognition when extraordinary and unusual circumstances merit.
Award of Excellence in Wildland Fire EMS/Rescue.
- This award recognizes an individual(s) who has displayed an act of selflessness and heroism above and beyond the call of duty during a wildland fire emergency medical, rescue incident, or unexpected event. Eligible recipients include members from an NWCG member agency or from an agency/organization called to assist an NWCG member agency. This award is not necessarily given annually; multiple awards may be given in a year.
The Janette Peterson Lifetime Achievement in Wildland Fire EMS Award.
- This prestigious award may be presented to an individual who has demonstrated a long-standing commitment to the advancement of and leadership in wildland fire EMS. This award is not necessarily given annually.
Nominee's Name and Position
Nominee Agency/Department/Crew/Unit
Nominee Contact Information (Address, Email, Phone)
Please explain how the candidate has gone above and beyond daily job duties or mission and why the award is deserved.
Do you have support documents to attach? Once submitted, all material becomes the property of the NWCG Emergency Medical Committee.
Yes
No
Attachments
Maximum 10 files.
9.28 GB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Please direct questions to: Tyler McCowan, EMC Chair,
tmccowan@blm.gov
.
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