CIT 'First Responder of the Year' - Nomination Form  

Nominees may include: 

  • Sheriff Deputy
  • Police Officer
  • Corrections Officer
  • Dispatcher
  • Firefighter
  • EMS 

A Crisis Intervention Team (CIT) response is designed to help persons with mental health conditions and/or addictions access medical/mental health treatment, rather than place them in the criminal justice system due to illness related behaviors. For more information, visit CIT International  or NAMI.

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                                  Award nominee is to be consider for exemplary service.
Sponsored by:
Date of Interaction: *
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Nominee's Name: *
Service Agency: *
Reasons for Nomination: *
Nominated by: *
A copy of your responses will be emailed to the address you provided.
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