Chief Executive Officer of the Year Award Nomination Form

  • Section I - Nominee Information

    Please complete all sections of the nomination form.
  • Date Format: MM slash DD slash YYYY
  • Nomination Package Information

    The nomination package should contain a memorandum or letter addressed to the FPCA Executive Director Amy Mercer attesting to the accuracy of the supporting documentation which outlines the following criteria: the nominee's service to the FPCA; the nominee's service to their agency; the nominee's service to their community; and the nominee's accomplishments as a law enforcement administrator.
  • Drop files here or
    Accepted file types: pdf.
    If your attachment is larger than 20MB, please email directly to Tammy Agee at tagee@fpca.com.
  • Accepted file types: jpg, gif, png, bmp.
  • Section I - Nominator Information