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NOMINATION
FORM (cover sheet)
Outstanding Advocate for Women in Law Enforcement AwardName:
_____________________________________________________ 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. |