2022 SEAFC Fire Chief of the Year Nomination Form

Deadline: March 31, 2022 at 11:59 PM CST (Midnight)

1. Nominator Information

If you are not with an organization please type -- Individual.

2. Nominee Information

Career - position is primary source of income with combination or career department
Volunteer - position is not primary source of income for volunteer or combination department

3: Nominator Supporting Documents

Describe why you are nominating this individual. (Limit 1000 Words)
Click or drag a file to this area to upload.
Accepted file types: .doc, .pdf, .docx Maximum 5MB
Click or drag a file to this area to upload.
Accepted file types: .doc, .pdf, .docx Maximum 2MB
Click or drag a file to this area to upload.
Accepted file types: .doc, .pdf, .docx Maximum 2MB
Click or drag files to this area to upload. You can upload up to 2 files.
Other: (ie. newspaper/magazine article)
Accepted file types: .doc, .pdf, .jpg, .gif, .png, .docx, .txt Maximum File Size: 10MB
Maximum 2 Files

4. Submission

Please provide your full name below, thus certifying that all of the information in this application is correct to the best of your knowledge. Two awards will be presented in Mobile, AL at the Renaissance Riverview Plaza on June 23, 2022; one for a career fire chief and one for a volunteer fire chief.