FY27 Committee of Practitioners (COP) Member Nomination

FY27 Committee of Practitioners (COP) Member Nomination
Name of Person Completing This Form

First NameLast Name
Title
LEA or Agency
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Name
Nominee's LEA or Agency
Nominee's Email Address
Nominee's Phone Number
What position is the nominee being recommended for?
Should be Empty: