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V12.28.07




                           Profile Information Sheet
            Please be sure to attach any photos and include quotes and available
                 statistical information to credit your program’s successes.

                               Return to Fire Corps
                 7852 Walker Drive, Suite 450 • Greenbelt, MD 20770
    1-888-FC-INFO1 • 202-887-5291 fax • info@firecorps.org email • www.firecorps.org


Department Name:

Fire Corps Program Name:

Size of Population Served by Department:

Type of Department:        Volunteer       Combination        Career

Number of Citizen Advocates:

Fire Corps Contact Name:

Contact Phone Number and Email:

Detailed Description of Current or Recent Projects:

Achievements/Highlights:

What is unique/innovative about your Fire Corps program?

Would you like to nominate your program for the President’s Volunteer Service Award?

  Yes           No

If yes, how many hours have your Fire Corps volunteers donated over the past 12 months?
(Please specify time period if program has been active less than one year)

Additional Information:

Would you like to nominate a Citizen Advocate to be recognized on the Fire Corps
website?       YES        NO
V12.28.07

Name:

Title:

How long have they been with your Fire Corps program?

Duties:

Achievements:

Would you like to nominate this Citizen Advocate for the President’s Volunteer Service
Award?

  Yes           No

If yes, how many hours have your Fire Corps volunteers donated over the past 12 months
or over the course of his/her lifetime? (Please specify time period if volunteer has been
active less than one year).


Additional Information:

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Profile Questionnaire

  • 1. V12.28.07 Profile Information Sheet Please be sure to attach any photos and include quotes and available statistical information to credit your program’s successes. Return to Fire Corps 7852 Walker Drive, Suite 450 • Greenbelt, MD 20770 1-888-FC-INFO1 • 202-887-5291 fax • info@firecorps.org email • www.firecorps.org Department Name: Fire Corps Program Name: Size of Population Served by Department: Type of Department: Volunteer Combination Career Number of Citizen Advocates: Fire Corps Contact Name: Contact Phone Number and Email: Detailed Description of Current or Recent Projects: Achievements/Highlights: What is unique/innovative about your Fire Corps program? Would you like to nominate your program for the President’s Volunteer Service Award? Yes No If yes, how many hours have your Fire Corps volunteers donated over the past 12 months? (Please specify time period if program has been active less than one year) Additional Information: Would you like to nominate a Citizen Advocate to be recognized on the Fire Corps website? YES NO
  • 2. V12.28.07 Name: Title: How long have they been with your Fire Corps program? Duties: Achievements: Would you like to nominate this Citizen Advocate for the President’s Volunteer Service Award? Yes No If yes, how many hours have your Fire Corps volunteers donated over the past 12 months or over the course of his/her lifetime? (Please specify time period if volunteer has been active less than one year). Additional Information: