2022 SEAFC Fire Chief of the Year Nomination Form Deadline: March 31, 2022 at 11:59 PM CST (Midnight) Please enable JavaScript in your browser to complete this form.1. Nominator InformationNominating Organization or Association: *If you are not with an organization please type -- Individual.Nominating Organization Contact Name: *FirstLastNominator's Title: *Nominator's Email Address: *Nominator's Mailing Address: *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNominator's Phone Number: *2. Nominee InformationNominee Contact Name: *FirstLastNominee Title: *Nominee Mailing Address: *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNominee's Phone Number: *Is Nominee An IAFC Member?YesNoNot SureAward Category: *CareerVolunteerCareer - position is primary source of income with combination or career department Volunteer - position is not primary source of income for volunteer or combination department3: Nominator Supporting DocumentsNominator Statement *Describe why you are nominating this individual. (Limit 1000 Words)Resume Click or drag a file to this area to upload. Accepted file types: .doc, .pdf, .docx Maximum 5MBRecommendation 1 Click or drag a file to this area to upload. Accepted file types: .doc, .pdf, .docx Maximum 2MBRecommendation 2 Click or drag a file to this area to upload. Accepted file types: .doc, .pdf, .docx Maximum 2MBOther Supporting Documents: 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. SubmissionPlease 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.Name *FirstLastEmail Address (if person submitting IS NOT the nominator) Submit