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NYSVARA SPECIAL AWARDS APPLICATION
Applications Must be Submitted by September 10, 2026.
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Candidate Information
Candidate's Name:*
Phone:*
Email:*
Credentials (Certifications, etc.):*
RN
MD/DO/NP/PA
EMT-P
EMT-CC
EMT-l
EMT
CFR
Other
Instructor (Level)
EMS Affiliation/Organizations
Name of Organization:*
Role/Title:*
Indicate the category for which the applicant is being nominated
(see awards description and criteria):*
Please Select Nomination Category
Civilian Star of Life Award
EMS Communications Specialist of Excellence
EMS Educator of Excellence
EMS Leadership Award
EMS Meritorious Award
EMS Person of Excellence ALS
EMS Person of Excellence BLS
EMS Unit Citation
EMS Youth Squad of Excellence
EMS Youth Squad Member of Excellence
Emergency Medical Care Provider (MD, DO, NP, PA) of Excellence
Registered Nurse of Excellence
Richard W.O. BeeBe Exemplary Educator Award
Reason for Nomination
Describe in detail why this nominee should receive this award
EMS Background:*
Reason for Award Nomination:*
Contribution to/impact on EMS:*
Submitter Information
Name of Person Submitting Nomination:*
Name of Agency Submitting Nomination:*
Phone:*
Email:*