2022 Awards Nomination Form

Illinois Security Professionals Association®
61st Annual Awards/Honors Gala
Nomination Form
Award nomination deadline is August 27, 2022.




Name of person being nominated: *
Company or Professional Affiliation: *
Nominee's Title *
Address: *
City: *
State *
Zip Code: *
Nominee Work phone: *
Nominee Cell phone:
Nominee Email *
Immediate Supervisor
Supervisor Phone
Supervisor Email

Award Categories: Please select the award for this nomination under the proper category below.

NOTE: Nomination forms received without the selection of a specific award listed within one of our award categories will not be accepted.

Security: Select category
Fire Life Safety: Select category
Homeland Security: Select category
Law Enforcement: Select category
Other: Select category
Real Estate Security: Select category


Please provide a detailed description as to why you believe this person should be considered for this award:(You can use the two boxes below and enter up to 800 characters per box including spaces.) *


Name of person submitting application: *
Date of submission: *
Phone Number *
Email: *

To be considered, all nominations must be received in the Illinois Security Professionals Association office on or before Friday, August 12, 2022.

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

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