Red Cross Central Illinois Chapter

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Nominate Your Hero

Saturday, May 15, 2010 | Embassy Suites Conference Center, East Peoria
5:30-6:30 p.m. VIP Reception | 6 p.m. General Reception | 7 p.m. Dinner

Tell us about your hero!

Heroes are everywhere, if you take the time to look. In particular, the Red Cross wishes to recognize:

YOUTHS: Youths under 18 who show personal bravery or devotion to a greater cause. Think of the outstanding students, scholars, athletes, Scouts and young leaders you know.

PUBLIC SAFETY PROFESSIONALS: Health-care, military or public safety professionals who go above and beyond to answer the call to service. Think of the EMTs, doctors, nurses, police, firefighters, soldiers, sailors, Marines, Guardsmen or airmen you know.

GOOD CITIZENS: People who display exceptional courage or dedication to a greater cause. Think of your friends and neighbors who devote their time and talent to serving the community.

Tell us about YOUR hero!

In order to be considered for an award, the event and/or activities you are nominating this person for must have occurred in Peoria, Woodford, Tazewell, Marshall, Mason or Stark counties.
Nominees will be judged by an independent committee of community leaders.

2010 Heartland Heroes Nomination Form

Your Information

*Full Name

*Address

Address 2

*City

*State

*Zip Code

*Phone Number

*Email Address

Person You Wish to Nominate

*Nominee's Name

*Address

Address 2

*City

*State

*Zip Code

*Phone Number

Nominee's Email Address

*Relationship to Nominee

Nomination Information

In order to be considered for an award, the event and/or activities you are nominating this person for must have occurred in Peoria, Woodford, Tazewell, Marshall, Mason or Stark counties.

*Date Event Occurred

Date:

Check Here If Ongoing Event

*Did Nominee Save a Life?

Yes

*Did Media Cover the Event?

Yes

If so, where?

When?

*My Hero Is A: (choose one)

(*) Required Field

In your words

Please describe in detail why you are nominating this person for this award. Include a description of events that may be relevant, including references to newspaper articles, quotes, etc.

Think about your hero's activities and his/her character. What makes him/her special? What do others say about this person? This description is necessary in order for your nominee to be considered for an award. There is no word limit!

NOTE: THE RED CROSS STRONGLY RECOMMENDS THAT YOU FIRST COMPOSE YOUR NOMINATION IN WORD-PROCESSING SOFTWARE (SUCH AS MICROSOFT WORD), SAVE IT ON YOUR COMPUTER, THEN COPY AND PASTE IT INTO THE FIELD BELOW.
THANK YOU.

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