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Officer Memorial Award Nomination Form

I recommend for the Officer Memorial Award from IACLEA (International Association of Campus Law Enforcement Administrators). Nominations to honor officers killed in the line of duty will be accepted through March 16, 2012 at 5:00 p.m. ET for incidents that happened during the time period of March 1, 2011 through March 16, 2012.
Details of Recommendation:

Complete the following:
Nominee Name:
Nominee Title:
Nominator Information
Recommended By:
E-mail:
Title:
Department:
Questions: Contact IACLEA, Attn: Priscilla Shisler, 342 North Main Street, West Hartford, CT 06117-2507. Telephone: (860) 586-7517, Ext. 549. Fax: (860) 586-7550; Email: pshisler@iaclea.org All recommendations must be received by March 16, 2012.