NOMINATION FORM(cover sheet)
Outstanding Employee in Law Enforcement Award
Name: _____________________________________________________
Agency: _____________________________________________________
Address: _____________________________________________________
Bus. Tel. _________________________E-Mail______________________
Position: _____________________________________________________
Years of Government Service:____________
________________________________________________________________________________________________________________________________________________
Signature of Nominating Official:___________________________________
Title of Nominating Official:_______________________________________
Nominating Agency:______________________________________________
Name of Agency Official to be notified of final award selections:
Name: Tel #:
E-Mail:
IMPORTANT: Narrative justification must be no longer than three typed written pages.
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Women in Federal Law Enforcement
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