PD Character Counts E-mail Form

CHARACTER
COUNTS!!

N O M I N A T I O N F O R M

The Elk Grove Village Police Department
Presents the
Award Winning Character Program

W A N T E D ! !

Candidates who have demonstrated award winning character by exemplifying one of the Six Pillars of Character.

* required fields

*Nominee Name:

*Check One:

Adult teen Youth

*Address:

Phone:

*Check the CHARACTER COUNTS!sm pillar for which you wish to recognize the nominee.

Trustworthiness Respect Responsibility Fairness Caring Citizenship

*Document Award
Winning Character:

*Submitted by:

*Address:

*Phone:

E-mail:

Enter Code: