Heroes in Public Safety Hall of Fame Nomination Form
Heroes in Public Safety Hall of Fame Nomination Form
Nomination Deadline is March, 2027
1
Nominee
>
2
Nominator
>
3
Award Category
>
4
Merit Award
>
5
Hall of Fame
>
6
Lifetime Achievement Award
>
7
Public Safety Partnership Award
Name of Nominee
*
E-mail
*
Cell or office phone number
Approximate years of study/training at TSC [including Pat Thomas Law Enforcement Academy and Ghazvini Center for Healthcare Education
Program of study and/or certificate earned
Current Employer’s Name
Current Supervisor (if known)
Nature of job/work
Job Title
If retired, last known job title/rank
If retired, last known Employer
If married, spouse’s name