EMS Personnel of the Year Nominations

This nomination form is for the current year EMT, Ground Paramedic, Flight Paramedic, & Flight Nurse of the year in Graham/Greenlee Counties. You may nominate people throughout the year, the nominations will be voted on by the SAEMS Sub-regional Committee and awards will be presented in January during the annual EMS Banquet. Your name will remain anonymous for the final voting.
Nominee *
Type of Nomination *
Nominator's Name
Nominator's Name