Maryland State

FIREFIGHTERS ASSOCIATION

Use the following form to email your submission for firefighter of the year.

Nominator's Name(Required)

Nominator's Phone Number(Required)

Nominee's Name(Required)

Nominee's Department Name(Required)

Current Position in Department(Required)

Activities Performed During 2023(Required)

Total Fire Calls(Required)

Total EMS Calls(Required)

Other(Required)

Training Taken During 2023(Required)

Title of Training

Total Hours

List Other Community Activities During 2023(Required)

Achievements or Activities for 2023(Required)

List other achievements or activities that occurred during 2023 that you think should be considered, also to include any MSFA activities.

Current Photo of Nominee

Max. file size: 50 MB.

Coat Size of Nominated Individual

Proud to Partner With:

2130 Priest Bridge Dr #4
Crofton, MD 21114

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