Black Swamp Humanitarian Awards
Categories:
Good Samaritan: For outstanding service to another human being, such as aiding persons in an auto accident or giving CPR to a heart attack victim.
Beyond the Call of Duty: For an individual (such as a firefighter, police officer, EMT or health care professional) who goes beyond his or her professional responsibility to provide extra ordinary measures in coming to a person's aid.
Life Risk: For risking one's own life for the benfit of another or others.
Service to Others: For outstanding service to another human being.
Nomination Form:
Award Category:	Good Samaritan Beyond the Call of Duty Life Risk Service to Others
Person Nominated:
Name:
Address:
City:
Phone: Work & Home:
Person Assisted:
Name:
Address:
City:
Phone: Work & Home:
Place of Employment
Person Making This Nomination:
Name:
City:
Phone: Work & Home:
Relationship to Person Nominated:
Give a detailed description of what the person did. If possible, include copies of police reports, newspaper articles and witness statements. Use the file upload buttons to upload the files. Include a word file of the description if the below area is not big enough, then upload using the file upload buttons below.
Description of the Event:
Upload file
Upload file
Upload file
Application Deadline: July 25, 2008
Awards recognize events which happened from June 1st of last year through June 30th of this year. These applications are emailed to David Miller, Sentinel-Tribune, dmiller@sentinel-tribune.com.
The Black Swamp Humanitarian Awards are sponsored by the Sentinel-Tribune.