LETR Volunteer of the Year Award Nomination Form

Please complete this form to nominate an individual for his/her outstanding achievements, demonstrated leadership and sustained dedication to furthering the mission of Law Enforcement Torch Run for Special Olympics Wisconsin.

LETR Volunteer of the Year Award

The Special Olympics Wisconsin LETR Volunteer of the Year Award was created to recognize outstanding officers who have committed themselves to the mission of Special Olympics Wisconsin as evidenced by the officer’s participation and leadership in Law Enforcement Torch Run® or Special Olympics Wisconsin events.

Nominee Contact Information
Name of nominee:*
First Last
Rank or Title:*
Law Enforcement Agency/Organization:*

(if applicable)
Law Enforcement Agency Address:*
Street Address City State ZIP Code
Email*
Phone*
Supervisor Name:*
Supervisor Email:*
About the Nominee
Number of Years involved with LETR for Special Olympics Wisconsin:*
List the nominee's involvement with LETR or Special Olympics Wisconsin. (Be specific--highlight activities, positions held, accomplishments, length of service for each activity, money raised, sponsors acquired, athletes served, etc.)
What impact has the nominee had on furthering the mission of Special Olympics Wisconsin?
List any other information you believe the selection committee should know about the nominee.
Nominator Contact Information
Name of nominator:*
First Last
Rank or Title:*
Law Enforcement Agency/Organization:*

(if applicable)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Role in SOWI/Relationship to Nominee:

Special Olympics Wisconsin
6582 Ronald Reagan Ave.
Madison, WI 53704
	(608) 222-1324

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LETR Volunteer of the Year Award Nomination Form

LETR Volunteer of the Year Award

Nominee Contact Information

About the Nominee

Nominator Contact Information

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