F



DAVE HEYWOOD OUTSTANDING FIRE PREVENTION LEADERSHIP AWARDTHE INTENT:This award shall be presented to acknowledge one person who is a NSVFA member, submitted by their Fire Department as deserving special recognition for their outstanding efforts to promote Fire Prevention in their community.THE AWARD:One winner will be chosen from applications received and shall be awarded a plaque and $100.00. ELIGIBILITY:The person must be a member in good standing of the Nebraska State Volunteer Firefighters Association and have had their NSVFA membership dues paid by December 31, 2019.RULES:The Fire Department shall describe on page 2, activities performed by the person they are nominating for recognition.Entries must be postmarked no later than March 28, 2020, and mailed to:NSVFA Fire Prevention CommitteeAttention: Rhonda Cerny, Chairperson1618 Denver StSchuyler, NE 68661JUDGING:Applications will be judged by the NSVFA Fire Prevention Committee and all decisions will be final. If an entry for this award is from a Fire Prevention Committee member’s department, an impartial replacement judge from the NSVFA Executive Board will vote in place of the committee member.If anyone has questions, please address them to NSVFA Fire Prevention Committee Chairperson:Rhonda Cerny, Chairperson; email: r_cerny@, telephone (402) 649-6068Or Committee Members: Jenie Maloney (308) 380-3900, Robert Heckman (402) 515-8439, Chris Parker (402) 729-5988 or Bob Tichota (402) 426-2761 SEE PAGE 2 FOR AWARD APPLICATIONDAVE HEYWOOD FIRE PREVENTIONOUTSTANDING LEADERSHIP AWARD APPLICATION (See instructions on page 1)(Please print)DEPARTMENT NAME: NOMINEE’S NAME: CONTACT NAME: ADDRESS: TELEPHONE: EMAIL: Our department would like to take this opportunity to recognize the nominated person named above who serves on our Fire Department and deserves special recognition and a pat on the back for their outstanding efforts to promote Fire Prevention in our community.(Please describe Fire Prevention activities performed by this person)Use additional pages to complete your activities as needed and attach.Entries must be postmarked no later than March 28, 2020 and mailed to:NSVFA Fire Prevention CommitteeAttention: Rhonda Cerny, Chairperson1618 Denver StSchuyler, NE 68661 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download