Please submit award nominations by August 31, 2018.
Award Descriptions
Consumer/ Citizen - A person who, not in the regular line of duty, performs life-saving, limb-saving, or medical techniques in a medical emergency while demonstrating quick-thinking and common sense.
EMS Provider- A medically-trained person who performs meritorious service above and beyond expectations of the job.
EMS Administrator- Any person who successfully develops a new approach, technique, device, etc., to improve EMS in Alaska, and/or for an outstanding administrator in an EMS agency or service.
Longenbaugh Memorial- Dr. George Longenbaugh was a pioneer in Alaska EMS. This award honors a physician who exemplifies leadership and dedication to EMS systems and, through his or her efforts, has significantly promoted the Alaska EMS system.
EMS Educator of the Year- This award is given to a State certified ETT or EMT Instructor, who is dedicated to quality instruction and promoting the best in prehospital care or has made an outstanding contribution to EMS education.
Melissa Ann Peters Memorial-  The Melissa Ann Peters Memorial Award is given in memory of a young nurse whose untimely death prompted her family and friends to remember her by honoring other nurses who have contributed in a special way to the encouragement of EMS skills, efforts, and education.
Outstanding Ambulance Service- The criteria for selection of the Outstanding Ambulance are the following: 1) heroic performance on a special occasion, such as a mass casualty response or 2) outstanding success in providing year-round community service and in gaining support and involvement of the entire community in its service and educational activities. In short, an ambulance service will be chosen that exemplifies in some way the outstanding service that all our ambulance organizations and rescue squads provide to Alaska.
Special Awards and Commendations- Special Awards and Commendations may be awarded by the Alaska Council on EMS in addition to the Governor's Awards in one or more of the following categories for outstanding service: air medical services, injury prevention programs, outstanding employees associated with an EMS organization for longevity and service, and foundations and or service organizations which provide support to EMS activities.
 
 

Please select the type of award

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* 1. Please select the type of award

Nominee First and Last Name

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* 2. Nominee First and Last Name

Nominee Contact Information

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* 3. Nominee Contact Information

Describe why this person is being nominated and how they meet the award criteria.

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* 4. Describe why this person is being nominated and how they meet the award criteria.

Nomination Support Documents, optional

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* 5. Nomination Support Documents, optional

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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Your First and Last Name

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* 6. Your First and Last Name

Your contact information

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* 7. Your contact information

Relationship, if any, to Nominee (personal, financial, employment)

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* 8. Relationship, if any, to Nominee (personal, financial, employment)

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