1811 Magazine Summer 2011 : Page 27

THE EIGHTEEN ELEVEN BALLOT FOR THE 2011 FLEOA NATIONAL AWARDS S RXUFH RI ,QIRUPDWLRQ&#10; Name and phone number of person submitting documentation if different from $OO QRPLQDWLRQV PXVW EH SRVW&#10;PDUNHG E\ -DQXDU\ &#16;&#14;&#0f; &#15;&#13;&#14;&#15;&#11; ,QFOXGH ZLWK VXEPLVVLRQ&#1d; individual making the nomination. 6XSSRUWLQJ 'RFXPHQWDWLRQ&#10; A statement not more than IRXU typewritten pages in length. Also LQFOXGH D &#16;&#13;&#13; ZRUG VXPPDU\ . All individuals being nominated for the award must have all nominee information provided. All information PXVW EH RQ D FRPSXWHU GLVN &#0b;&'&#0c;&#0f; LQ :RUG3HUIHFW RU :RUG IRU :LQGRZV IRUPDW&#11; Name of Submitter Address Please type or print Nominee Address City/State Telephone Number Agency Agency Address Zip ode C City/State Telephone Number Agency Fax Number Pager Number E-Mail Address Zip ode C Agency Director and Phone Number Check The Box In The Appropriate Category ‰ HEROISM ‰ BRAVERY ‰ INVESTIGATIVE EXCELLENCE (FLEOA MEMBER) ‰ INVESTIGATIVE EXCELLENCE (NON-MEMBER) ‰ ‰ ‰ ‰ ‰ ‰ ‰ PROSECUTORIAL GROUP ACHIEVEMENT STATE, COUNTY, LOCAL, OR SPECIAL POLICE CIVILIAN ACADEMIC/NEWS MEDIA LEGISLATIVE/ADMINISTRATIVE SPECIAL EVENT 0DLO <RXU 6XEPLVVLRQV 7R&#1d; )/(2$ 1DWLRQDO $ZDUGV Committee 3&#11;2&#11; %R[ &#16;&#15;&#19; /HZLVEHUU\&#0f; 3$ &#14;&#1a;&#16;&#16;&#1c; &#0b;&#1a;&#14;&#1a;&#0c; &#1c;&#16;&#1b;&#10;&#15;&#16;&#13;&#13; 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&#10;PDLO DW ÀHRDDZDUGV#ÀHRD&#11;RUJ&#11; 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&#11; Nominations not prepared as directed or submitted in formats other than CD will be returned IRU FRUUHFWLRQ DQG UHVXEPLVVLRQ&#11; See above for full particulars .

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