Philadelphia Emerald Society Awards Application

APPLICATION DEADLINE ~ JUNE 1st of the CURRENT YEAR

Please print out, complete, and mail-in the information listed below for consideration.

Applications can be sent through regular mail to:

Philadelphia Emerald Society

P.O. Box 2430

Philadelphia, PA 19147

or email to: emeraldsoc@comcast.net

Name___________________________________________________________________________________

Address________________________________________________________________________________

City, State, Zip ________________________________________________________________________

Award Nominating For_______________________________________________________________

Nominated By________________________________________________________________________

Spouse's Name_______________________________________________________________________

Children Names_________________________________________________________________________________________________________________________________________________________

Include a brief biography of the person who has been nominated and a list all of his/her accomplishments.

Awards we consider are: Person of the Year, Police Officer & Firefighter of the Year, Student/Athlete of the Year, and Achievement Awards.

This application should NOT be used for our Scholarship Awards. See that separate section of our website.