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2019 Fire and EMS Expo Recognition Award Nomination Form
The New Mexico Fire & EMS Expo is hereby soliciting nominations for the 2019 annual state
recognition awards. The awards recognize outstanding service by emergency responders during
fiscal year 2019 (July 1, 2018 to June 30, 2019).
Email address *
The nomination must be received at the Fire Academy no later than August 1, 2019. Award notifications will be made August 15, 2019. The award ceremony will be held in conjunction with the New Mexico Fire & EMS Expo, at the awards banquet.
Following are the award categories for which an emergency responders may be considered:
Award Descriptions
2019 Fire and EMS Expo Recognition Award Nomination Form
All submitted awards information will be reviewed by the New Mexico Fire and EMS Expo Committee who will determine the award recipient for each category. It is possible that not all categories will be awarded and sole discretion is left to the committee to decide. Category descriptions are provided on the reverse side of this application.

A minimum one page typed justification needs to be attached to all nominations.

Choose Award Nomination *
Nominee Information
Nominee Name- First and Last *
Your answer
Address with city, state and zip code *
Your answer
Phone Number *
Your answer
Organization *
Your answer
Nomination Justification Summary *
Your answer
Nominator Information
Nominator Name- First and Last *
Your answer
Address with city, state and zip code *
Your answer
Phone Number *
Your answer
Organization
Your answer
A copy of your responses will be emailed to the address you provided.
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