Career Chief Officer of the Year Nomination Form Nomination for Career CHIEF OFFICER of the Year Award Nomination for Career CHIEF OFFICER of the Year Award If you are human, leave this field blank. Name of Department * County Alexander Alleghany Ashe Avery Buncombe Burke Cabarrus Caldwell Catawba Cherokee Clay Cleveland Davie Gaston Graham Haywood Henderson Iredell Jackson Lincoln Mecklenburg Macon Madison Mcdowell Mitchell Polk Rowan Rutherford Swain Transylvania Watauga Wilkes Yancey Name of Nominee Age Number of Years in Fire Service Current Position Held Years in Position Family Information Education / Certifications Special Achievements / Recognition Community Involvement / Organizations Candidate Belongs to Other Remarks Date Submitted Person Making Nomination Phone of person making nomination Email of person making nomination Submit
