2024 First Responders Dinner Nomination Form - Orange County Business Council (OCBC)

OCBC 2024 FIRST RESPONDERS DINNER
NOMINATION FORM

UPDATE AS OF JULY 1: We are granting a one-week extension for first responder nominations. The extended deadline will be Monday, July 8 at 5:00 p.m. Nominations will not be accepted after this time.
Extended First Responder Nomination Form Submission Deadline: Monday, July 8, 2024 at 5pm
Honorees Notified By: Wednesday, July 31, 2024
First Responders Dinner Event: Thursday, September 12, 2024

Thank you for submitting a first responders nomination for OCBC’s 2024 First Responders Dinner. There is no fee associated with this nomination. We are looking forward to recognizing the courageous first responders and frontline professionals who protect and serve the businesses, residents and visitors of Orange County. The role of first responder spans across many industries. Some examples of first responders include: firefighters, police officers, health care workers, emergency room personnel, lifeguards, police and fire dispatchers, paramedics, DA’s office personnel, CSIs, investigators, and of course more.

Selection Committee Criteria:

A selection committee will be reviewing the submissions and selecting the honorees. The selection committee is looking for entries that provide a story relating to a specific incident. They are looking for entries that:

Provide a powerful story relating to a specific incident that conveys the risk first responders take and their vital importance to keeping our community healthy and safe.
Demonstrate a first responder or group of first responders going above and beyond the call of duty in an extreme and gripping circumstance.

Once notified, we request that honoree information be kept private and internal within your organization until after OCBC’s First Responders Dinner concludes on September 12. We request all honorees be available for the evening of OCBC’s First Responders Dinner at the Westin Anaheim Resort on September 12, 2024 between 6-8pm. During the event, the honoree’s story will be read aloud, and then the honoree will be awarded a plaque on stage and take a quick photograph with their CEO or immediate supervisor on stage.

All submissions must be completed online through this form. Submissions will not be accepted via email, Word Doc, PDF, etc. If you would like a downloadable, PDF version of this form to assist in gathering the information needed, please click HERE.

Please fill out all the questions listed below. Nominations will close July 8, 2024 at 5pm. Please contact OCBC Director of Events Lauren Martin, [email protected], with any questions.

OCBC 2024 First Responders Dinner Nomination Form

"*" indicates required fields

NOMINEE INFORMATION

Please note, if the nominee is selected as an honoree, the following information entered in this section will be exactly how it will be printed in the event program, appear on the screens at the event, on the event plaque, on social media posts and OCBC’s website, and anywhere else the honorees may be listed on their employer’s communications channels. If you are nominating a group of first responders for a singular incident, please begin filling out the form with one name and add additional names in the field that says “Additional Names for Group Nomination”.

Nominee's Full Name*

Prefix First Name and Middle Initial Last Name

Nominee's Title*

Nominee's Company/Organization*

Nominee's Specific Assigned Unit During Incident*

(Firehouse/Station Number, Hospital Floor/Department, etc.)

Nominee's Email*

Will only be utilized if selected as honoree

Nominee's Daytime Contact Number

Will only be utilized if selected as honoree

Additional Names for Group Nomination

Include Full Name, Title, Company/Organization, Specific Assigned Unit, Email and Phone Number. Press the plus sign to the right to add additional names.

Nominee Headshot*

Max. file size: 256 MB.

Please upload the nominee’s high-resolution headshot (at least 2 MB) in JPG or PNG format with their name saved as the file name. Please do not upload the headshot embedded in a PDF or other document. This will only be utilized for event purposes if the nominee is selected as an honoree. Please upload additional headshots if submitting a nomination for a group, or submit a group photo.

Additional Nominee Headshots

Drop files here or

Max. file size: 256 MB.

Please upload additional nominee headshots here for group nominations. Please save the file name as the nominee’s name.

NOMINEE STORY

Please describe the nominee's first responder incident in detail. (Word Count: between 325 to 400 words)*

Please provide incident details from the beginning, middle and end so we can set the scene accurately depict the story to the audience. Feel free to provide thoughts and feelings throughout the incident, as well as any unexpected challenges and circumstances. OCBC’s goal is to bring the nominee’s story to life, convey the hard work and risks first responders take for the safety of our county, and to bring about an all-around understanding and true appreciation for these frontline professionals.

We may utilize media on screen before, during, or after the first responder stories are being read. This includes photos on/at the scene of the situation, video recordings, audio files, 9-1-1 recordings if available and appropriate, news footage reporting on the situation, etc. Please provide photos in the form of JPG or PNG files. If the original video/audio files are absolutely not accessible and are only available via YouTube, Vimeo or another website, please provide the link in the website link field below and we will aim to make them work.

Website Links: News articles, company website post, etc.

Begin URL with https://

Video Links: YouTube, Vimeo, etc.

Begin URL with https://

Photos

Drop files here or

Max. file size: 256 MB.

Audio Files

Drop files here or

Max. file size: 256 MB.

Video Files

Drop files here or

Max. file size: 256 MB.

Other file upload

Drop files here or

Max. file size: 256 MB.

REQUIRED: By checking this box, you agree the account of the story submitted above is accurate and true.*

Yes

REQUIRED: By checking this box, you agree to allow OCBC to show the uploaded photos, audio files, video files, and other files during the event on September 12, 2024.*

Yes

REQUIRED: By checking this box, you allow Orange County Business Council to make minimal edits to the story for brevity and clarity during the event and in any communications (press releases, social media, website, etc.)*

Yes

Contact information for PIO, Communications Lead or other contact if there are any questions or clarifications needed.

Primary Contact Full Name*

First Last

Title*

Company/Organization*

Email*

Daytime Phone*

Secondary Contact: Full name, Title, Company/Organization, Email and Phone

Will only contact if primary contact is unavailable

Email addresses of all parties to be included in the email should the nominee be selected to be a featured honoree at the event*

Click the “plus” sign to add additional fields to add more email addresses. Please include the nominee’s email if you would like us to inform them, or don’t include if your organization would like to be the one to inform them.

As of right now, is the nominee(s) available to attend OCBC's First Responders Dinner on September 12, 2024 in Anaheim from 6:00 – 8:00 p.m. to accept a plaque on stage?*

Yes

Please ensure all information is entered accurately above before submitting your nomination. Please provide the name and email below of who will receive the confirmation email once the nomination has been submitted.

Full Name*

First Last

Email to receive confirmation of submission*

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OCBC 2024 FIRST RESPONDERS DINNERNOMINATION FORM

OCBC 2024 First Responders Dinner Nomination Form

NOMINEE INFORMATION

NOMINEE STORY

Contact information for PIO, Communications Lead or other contact if there are any questions or clarifications needed.

Please ensure all information is entered accurately above before submitting your nomination. Please provide the name and email below of who will receive the confirmation email once the nomination has been submitted.

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OCBC 2024 FIRST RESPONDERS DINNER
NOMINATION FORM