Hero Nomination Form Please tell us about the Heroic act of saving another person’s life by performing CPR and/or using an AED. This will help to determine the eligibility for a Hero Award, which will be given at the Annual “CPR/AED Awareness” Day. Name of HeroPlease put name as you want it to appear on awards. First Last Is there more than one "Hero"Check "Yes" if there is more than one rescuer involved in Save. Yes No List Names of Additional HeroesName of person making the Nomination First Last Email of person making the Nomination Phone of person making the NominationDescription of SavePlease tell us about the save: ie, date, location, what happened, was an AED used, what role did each Hero play in the save. Δ Share this:Click to email a link to a friend (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on Tumblr (Opens in new window)Click to share on Pinterest (Opens in new window)Click to print (Opens in new window)
