ROTARY POLICE OFFICER OF THE YEAR AWARDS for 2011-12

Community Award Nomination Form - QLD Metro North Region

This Award acknowledges outstanding acts of courtesy, kindness, understanding, compassion, courage and devotion to duty and the community from January 2012 to December 2012 by officers of the Qld Police Service in the Metro North Region

Nominations close Friday 20th May 2012

When filling out REASON FOR NOMINATING please do not use the Officer's name or any details that could identify them. The Officer's identity must remain anonymous for judging purposes./span>

An Officer cannot be nominated by another Officer, or by family member or relative. The decision of the judging panel is final and no correspondence will be entered into.

"Thanks for a job well done!"

 

Person Nominating Name *
Person Nominating Address *
E-mail Address: *
Person Nominating Phone *
Name of the Officer Nominated Rank of Officer (if known) *
Metro North Region ..Location of Officer (if known)
Reason for nominating (no names) *
Would you like more information about Rotary?Yes
No
Would you like to attend the Awards Dinner?Yes
No

* Required