Nomination Form

This award seeks to recognize an individual, paid or un-paid, agency or organization which embodies the qualities and spirit of Tom S. Hurley, in their championship of, and service to, the community. The recipient of this award goes above and beyond their day-to-day work or duties before, during or after times of disaster to provide a lasting effect, and/or impart significant contributions to fostering preparedness, responding to emergencies, or building community resiliency.

Nominations will be collected from June 1 to July 31 each year. All nomination submissions will be reviewed, and the recipient selected, by the Boone County Preparedness Fair Planning Committee. The award will be presented to the selected recipient at the annual Boone County Preparedness Fair during National Preparedness Month in September.

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* Please provide the following information about yourself. Information will only be shared with the Preparedness Fair Planning Committee. If given your consent, your name may also be shared with your nominee if selected for the award.

If you wish to remain anonymous, please skip to the next question.

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* What is your relationship to the nominee?

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* Is the nominee an individual or an agency or organization.

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