Award Nomination Form

The North Dakota Police Chiefs Association Awards Committee accepts awards nominations for various types of awards for sworn members, non-sworn members, and members of the public.

The nomination deadline is April 15th of each year.

"*" indicates required fields

Nominator's Information

Nominator's Name*

Nominator's Agency*

Nominator's Email*

Nominator's Phone*

Nominee's Information

Nominee's Name*

Nominee's Agency*

Nominee's Current Assignment*

Nominee's Current Rank/Title*

Nominee's Years of Service*

Agency Size (Sworn Members)*

0-10 sworn

11-50 sworn

51+ sworn

Nominee's Previous Awards*