Open to any non-paid staff, volunteer.

Base criteria:

1. Must have been involved with a current FACA Member Agency for at least one year prior to January 1st, 2022.
2. Can be nominated for a single outstanding achievement in animal control/protection or for exceptional performance for the year(s) prior to January 1st, 2022.

Name of Nominee

Name Pronunciation (Sounds Like)

Title of Nominee

Agency

Your Name

Your Phone

Your Email

Narrative of Accomplishments/Performance

Please include supporting documentation that will help demonstrate the worthiness of your nomination, however please submit no more than 10 pages total per nomination. This may include letters of recommendation, details of their outstanding achievement, details of their dedication, etc.

Photos

Please include at least 1 quality jpeg image of the nominee for use during the awards presentation.

Brief summary of nomination (150-200 words)