SUGGESTED CANDIDATE: NAME STREET CITY STATE ZIP AGENCY TELEPHONE (H) TELEPHONE(W)
Basis for Nomination Write a narrative description of why nominee should be chosen Georgia Peace Officer of the Year, and indicate if the nomination is for meritorious service or valor. Supporting references or cites may be used, as well as witness statements, newspaper articles, photographs, supervisor endorsements, and other external documents.
PERSON NOMINATING: NAME STREET CITY STATE ZIP AGENCY TELEPHONE (H) TELEPHONE(W)
A color or black and white, head-and-shoulders photograph, up to 5 by 7 inches, must be included with this form. Return this form, along with all documents, by June 30, 2001 to the: Peace Officers’ Association of Georgia, Post Office Box 1040, Reidsville, Georgia 30453.
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