NWT Fire Service Merit Awards Nomination Form Nominee Name (Individual Firefighter and/or Community Fire Department): Nominee Contact Information address): Nominator Name: Nominator’s Contact Information (phone, address): Are you willing to be recognized as the Nominator: Yes No ☐ ☐ Using the space below, please identify the fire protection related achievement this individual firefighter or community fire department has performed and give your reason(s) for your nomination. These achievements can include but are not limited to: An innovative idea/solution to a fire related A high degree of personal dedication and/or commitment; A demonstrated improvement over the past year (including training achievements); What impact the achievement had on the community in terms of fire protection; and contribution(s) to the territorial fire service. NOMINATION GUIDELINES: All nominations must be received by the nomination deadline. Nominations received after the deadline will be considered ineligible for the NWT Fire Service Merit Awards.
NWT Fire Service Merit Awards Nomination Form Nominee Name (Individual Firefighter and/or Community Fire Department): Nominee Contact Information address): Nominator Name: Nominator’s Contact Information (phone, address): Are you willing to be recognized as the Nominator: Yes ☐ No ☐ Using the space below, please identify the fire protection related achievement this individual firefighter or community fire department has performed and give your reason(s) for your nomination. These achievements can include but are not limited to: An innovative idea/solution to a fire related A high degree of personal dedication and/or commitment; A demonstrated improvement over the past year (including training achievements); What impact the achievement had on the community in terms of fire protection; and contribution(s) to the territorial fire service. NOMINATION GUIDELINES: All nominations must be received by the nomination deadline. Nominations received after the deadline will be considered ineligible for the NWT Fire Service Merit Awards.