Lifetime Member Nomination Form

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Please use the form below to nominate yourself or a former or retiring member to be a Lifetime Member. Life membership may be conferred by the respective Executive Board upon any person who has been an active member in good standing of the Section upon separation from the Fire Service. Life Members shall be entitled to all privileges and benefits provided by the Section, including voting privileges, but they shall not be entitled to hold the office of President, First VP, or Second VP.

Nominations are due by December 1, 2023.

Are you nominating yourself or someone else? *

Myself

Someone Else

Nominee's Name *

Please give your reason(s) for nominating this person:

Nominated by: *

Your Email (if not self-nominating)

Agency (if not self-nominating)

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