Family Appreciation Program Award

Award Purpose

To recognize the family of a volunteer fire or EMS member, who sacrifices their time with the member, for the good of the community.

Award Sponsor

MSFA Recruitment & Retention Committee

Award Administration

MSFA Recruitment & Retention Committee

Award Nomination Form

Submission Deadline: April 30

Award Rules

Nomination submitted for consideration must follow the following requirements:

1. Open to the family of volunteer members for the fire / EMS service.

2. Member MUST be an active volunteer and their company or department is good standing of the MSFA.

3. Family nomination must be endorsed by the President or Chief of the member’s department or company.

4. The MSFA Recruitment & Retention Committee will base their selection on the following criteria:

a. Exhibit consistent positive effort towards training, response to incidents, fundraising, etc.

b.Exhibit overall effort to support team concepts.

c. Active member for a minimum of five years.

d. Nominations must be submitted by no later than April 30th, to:

Jonathan Dayton
MSFA Recruitment and Retention Committee
14609 Michaels Road, NE
Cumberland, MD 21502

e. Awards will be presented at the Annual MSFA Convention and Conference .

f. Members of the MSFA Recruitment & Retention Committee, Members of the MSFA Executive Committee, and the Presidents of the MSFA are not eligible for the award.

Nomination Form

Nominee Information
Name of Family (Member) Nominee*

Please enter full, first and last name, if a family member (individual) is being nominated vs. a full family.
Nominee's Address*
Street Address City State ZIP Code
Nominee's Phone*
Best Time to Reach Nominee By Phone*
- Select All
- Day
- Evening
- Other
"Other" Selected. Please Elaborate.*
Company / Department / Squad Name*
Company / Department / Squad County*
Narrative of Recommendation*
Please supply a narrative of 250 words or less describing community support and consistent effort towards the fire / rescue service.
Your Information
Nominator's Name*
First Last
You must be an active member of a department or company for at least one year.
Nominator's Title
Nominator's Address*
Street Address City State ZIP Code
Nominator's Phone*
Nominator's Email*
Best Time to Reach Nominator By Phone*
- Select All
- Day
- Evening
- Other
"Other" Selected. Please Elaborate.*
Endorser's Information
The member's company / department / squad president or chief must endorse the family nomination.
Endorser's Name*
First Last
Endorser's Title*
Comments
This field is for validation purposes and should be left unchanged.

Nomination Form

Nominee Information

Your Information

Endorser's Information

Maryland State Firemen's Association