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NEW YORK HERO NOMINEE: Name Address City State Zip Phone Email County of Residence NEW YORK HERO NOMINATOR (YOU!) Name Address City State Zip Phone Email Relationship to Nominee New York Hero Nomination Form Nominate Your Hero Today! AWARD REQUIREMENTS: 1. Nominees must reside, work or be active in the state of New York. 2. The act of courage or humanitarian service can be ongoing OR have occurred any time after January 1, 2017. 3. Award winner must be willing to attend the WCFR Seventh Anniversary & Fundraising Gala on October 6th, 2018 in Nyack, NY. In addition, winners must be willing to participate in interviews and photographs for media and promotional reasons. 4. Entries must be submitted by July 31, 2018. TO NOMINATE YOUR HERO: Your nomination should include: 1. All the requested contact information 2. Description explaining why your hero deserves to be recognized 3. Supporting documents such as news articles and photographs After the submission deadline, local community leaders and event sponsors will be invited to join the New York Hero judging panel to select the award winner. Submit your nomination by mail Worldwide Community First or email: Responder, Inc. Attention: New York Hero PO Box 747 Nanuet, NY 10954 [email protected] wcfrworldwide.org/gala

Nominate Your Hero Today! - WCFRwcfrworldwide.org/.../2018/05/NY_Hero_Nominee_Form_2.pdf · 2018. 5. 28. · TO NOMINATE YOUR HERO: Your nomination should include: 1. All the requested

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Page 1: Nominate Your Hero Today! - WCFRwcfrworldwide.org/.../2018/05/NY_Hero_Nominee_Form_2.pdf · 2018. 5. 28. · TO NOMINATE YOUR HERO: Your nomination should include: 1. All the requested

NEW YORK HERO NOMINEE:

Name

Address

City

State Zip

Phone

Email

County of Residence

NEW YORK HERO NOMINATOR (YOU!)

Name

Address

City

State Zip

Phone

Email

Relationship to Nominee

New York Hero Nomination FormNominate Your Hero Today!

AWARD REQUIREMENTS:

1. Nominees must reside, work or be active in the state of New York.

2. The act of courage or humanitarian service can be ongoing OR have occurred any time after January 1, 2017.

3. Award winner must be willing to attend the WCFR Seventh Anniversary & Fundraising Gala on October 6th, 2018 in Nyack, NY. In addition, winners must be willing to participate in interviews and photographs for media and promotional reasons.

4. Entries must be submitted by July 31, 2018.

TO NOMINATE YOUR HERO:

Your nomination should include:

1. All the requested contact information

2. Description explaining why your hero deserves to be recognized

3. Supporting documents such as news articles and photographs

After the submission deadline, local community leaders and event sponsors will be invited to join the New York Hero judging panel to select the award winner.

Submit your nomination by mail Worldwide Community First or email: Responder, Inc. Attention: New York Hero PO Box 747 Nanuet, NY 10954

[email protected] wcfrworldwide.org/gala

Page 2: Nominate Your Hero Today! - WCFRwcfrworldwide.org/.../2018/05/NY_Hero_Nominee_Form_2.pdf · 2018. 5. 28. · TO NOMINATE YOUR HERO: Your nomination should include: 1. All the requested

Nomination Statement

Please describe what makes you or your nominee a New York Hero.

The New York Hero will be selected based on the degree to which their acts of heroism uphold the values of Worldwide Community First Responder, Inc. and leave a lasting and positive impact on the residents of New York State.

You can attach additional sheets, news clips or photographs to your nomination package.

2018 WCFR New York Hero will be honored on October 6th, 2018 at the WCFR Seventh Anniversary & Fundraising Gala in Nyack, NY.

SUBMISSION DEADLINE: July 31, 2018