1811 Magazine Summer 2011 : Page 27
THE EIGHTEEN ELEVEN BALLOT FOR THE 2011 FLEOA NATIONAL AWARDS S RXUFH RI ,QIRUPDWLRQ Name and phone number of person submitting documentation if different from $OO QRPLQDWLRQV PXVW EH SRVW PDUNHG E\ -DQXDU\ �f;   ,QFOXGH ZLWK VXEPLVVLRQd; individual making the nomination. 6XSSRUWLQJ 'RFXPHQWDWLRQ A statement not more than IRXU typewritten pages in length. Also LQFOXGH D  ZRUG VXPPDU\ . All individuals being nominated for the award must have all nominee information provided. All information PXVW EH RQ D FRPSXWHU GLVN �b;&'�c;�f; LQ :RUG3HUIHFW RU :RUG IRU :LQGRZV IRUPDW Name of Submitter Address Please type or print Nominee Address City/State Telephone Number Agency Agency Address Zip ode C City/State Telephone Number Agency Fax Number Pager Number E-Mail Address Zip ode C Agency Director and Phone Number Check The Box In The Appropriate Category HEROISM BRAVERY INVESTIGATIVE EXCELLENCE (FLEOA MEMBER) INVESTIGATIVE EXCELLENCE (NON-MEMBER) PROSECUTORIAL GROUP ACHIEVEMENT STATE, COUNTY, LOCAL, OR SPECIAL POLICE CIVILIAN ACADEMIC/NEWS MEDIA LEGISLATIVE/ADMINISTRATIVE SPECIAL EVENT 0DLO <RXU 6XEPLVVLRQV 7Rd; )/(2$ 1DWLRQDO $ZDUGV Committee 32 %R[  /HZLVEHUU\�f; 3$ a;c; �b;a;a;�c; c;b;  All Nominations Must Be Postmarked By January 31, 2012. I nquiries concerning nominations can be directed to FLEOA National Awards Committee at: (717) 938-2300 E\ H PDLO DW ÀHRDDZDUGV#ÀHRDRUJ Your nomination must be typed and submitted: (1) As a narrative accom-panied by a 300 word summary; AND (2) On a CD in WordPerfect or Word IRU :LQGRZVIRUPDW Nominations not prepared as directed or submitted in formats other than CD will be returned IRU FRUUHFWLRQ DQG UHVXEPLVVLRQ See above for full particulars .