Fire Prevention Association of Nevada

Phone: 702.229.0346

Nominate Yourself Online!

After the deadline of May 7, 2007, we'll make the
final selection for calendar model winners

Fill-in the online form below to make your nomination
OR
Click Here to download our Mail-In Nomination form

RULES & INSTRUCTIONS
Nominees can be males or females aged 18 & up Each nominee must be active within a recognized Nevada Fire Agency at the time of nomination Personnel qualify to be nominated for contributions that include prevention, education, or intervention All nominations must be received by May 07, 2007 Calendars featuring the winning nominees will be available during the 2007 Holiday Season
FOLLOW THE STEPS BELOW TO COMPLETE YOUR NOMINATION:
Complete the online form on this page The Summary of the reasons you are nominating yourself: Click Here for a sample nomination summary IMPORTANT: After you press the Send button, you will be presented with a page for submitting a photo of yourself. Please have this photo ready to send before completing and sending this form Click the Send button when you are done
NOMINEE Information
*Required Fields
*I AM NOMINATING MYSELF
*First Name:	*Last Name:
*Organization:	*Title:
Street Address:	City: , NV
Zip Code:
*Email Address:
*Home Phone (with Area Code):	Work Phone (with Area Code):
Summary of Nominee What are your reasons for nominating yourself? Click Here to view an example summary*