Instructions: Fill out the information below and then scroll down to click on the "SUBMIT" button to automatically transmit your nomination to the NEMSPA national office. Deadline for submitting a nomination is July 31.
Name: Company: Company Street Address: City: State: Zip/Postal Code: Nominee's Work Phone #:
Name: Company: Home Address: City: State: Zip/Postal Code: Submitter's Phone #: Email address:
In the space below, please describe why you think this individual should receive the NEMSPA Pilot of the Year Award. Then click on the SUBMIT button at the foot of the page to email your nomination to the NEMSPA national office.
