Walworth County Firefighters' Association

Firefighter of the Year

Firefighter of the Year Nomination Form *Married?
Yes  No  
*Volunteer?
Yes  No  
*Paid?
Yes  No  
*Paid on call?
Yes  No
Leadership/Elected Positions Held on the Department: *Member of Rescue Squad/Ambulance
Yes  No  

Attendance Record:



*Is the nominee available to respond to calls 24/7?
Yes  No  

*Is the nominee:
Department Choice
Committe Choice
Fire Chief Only Choice

The firefighter of the year recipient shall receive a certificate and plaque at the awards banquet. All other nominees receive a certificate. Please be sure you nominees are available to attend the banquet to accept their award.

 

This form must be completed by 10 pm September 20.  Any nominations not received on time will not qualify for this years awards ceremony. NO EXCEPTIONS!