Training Coordinator Nomination Form

Please complete this form to nominate a LETOA member as the training coordinator of the year. The selected coordinator will be recognized at the conference banquet.

Candidate's Name: *

First

Last

Candidate's Current Rank and/or Assignment: *

Department / Agency / Educational Facility: *

Address of Department / Agency / Educational Facility: *

Address Line 1

Address Line 2

City

State

Zip Code

Candidate's Phone: *

Candidate's Email: *

Confirm Email

Person Making the Nomination

Your Name: *

First

Last

Your Current Rank and/or Assignment: *

Are you a current LETOA member? *

(If no, please include a LETOA member name below)

Your Department / Agency / Educational Facility: *

Your Agency Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Your Phone: *

Your Email: *

Confirm Email

LETOA Member Information

Only needed if the person making the nomination is not a LETOA member. The LETOA member endorsing the nomination does not necessarily need to work for the same agency as the nominee or nominator.

LETOA Member Endorsing Nomination:

First

Last

(If different from the person making the nomination)

Department / Agency / Educational Facility:

Letter to LETOA President:

Click or drag files to this area to upload. You can upload up to 2 files.

Attach a letter directed to the LETOA President describing the attributes of the candidate based on the candidate selection considerations. The preferred file types include Microsoft Word or Adobe PDF.