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Public Safety Awards Application

Nominator Information
Please enter the information about yourself below. * Required field for application to be accepted.
Submitted by:*
Title & First Name Last
Agency*
Phone*
Email*
Award Categories
The following are eligible for the awards listed below: Law Enforcement Office, Emergency Communicator, States Attorney, Correction/Campus Safety, Emergency Medical Services/Fire/Rescue Personnel.
Please select one:*
- Gold Medal of Valor
- Silver Medal of Bravery
- Bronze Medal of Outstanding Performance
- Life Saving Award
- Distinguished Achievement Award
- Supervisor of the Year
- Correctional Officer of the Year
- Civilian Meritorious Service Award
- Career Fire/EMS of the Year
- Volunteer Fire/EMS of the Year
- Law Enforcement Officer of the Year
- State's Attorney Outstanding Achievement Award
- Emergency Communications Outstanding Achievement Award
Nominee Information
* Required field for application to be accepted.
List*
Title Name Phone Email
Upload Headshot(s)*
Drop files here or

Accepted file types: jpg, png, jpeg, gif, Max. file size: 2 MB, Max. files: 20.
Incident Narrative
Instructions: In order to properly process this nomination, please provide a detailed account of the incident/performance and why it is deserving of the award or acknowledgment. Do not submit a resume. To the degree possible your narrative should be chronological, clear and concise. Recommendation: Write the narrative in Word then, copy and paste into the form.
Please enter the incident narrative below:*

60898

Episode #385 – Art Riley of Kiwanis

January 13, 2025

Episode #384: Megan Plumley, co-owner of Plumley Creative

January 6, 2025

Take advantage of this great member benefit offered by CQI Associates

The Carroll County Chamber of Commerce exists to promote a sound economic environment in which our business community can prosper.

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9 East Main Street, Suite 105
Westminster, MD 21157
410.848.9050
Fax: 410-876-1023
info@carrollcountychamber.org

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