International Association of Arson Investigators

Kansas Chapter

Awards Committee Nomination Form

Awards Panel: The KS IAAI manages the awards. The selection panel is composed of the members of the Kansas Chapter of Board of Directors.

Nominations must be submitted by December 31st.

Name of the Nominator                                                                                         

Agency / Company                                                                                                     

B Phone                                               H Phone                                       

 

Address                                                                          

                            

City                                                    State             Zip                                      

 

 

 

Name of the Nominee                                                                                            

Agency / Company                                                                                                     

B Phone                                               H Phone                                       

 

Address                                                                          

                            

City                                                    State             Zip                                    

 

 In 250 words or less describe the events and circumstances of which the Nominee has exhibited to being the Investigator of the Year [Calendar Year 2004, dates and parties involved].

 Submit to: John Mattox Shawnee Fire Department 6501 Quivira Road, Shawnee, KS 66203 or email to jmattox@cityofshawnee.org