2012 Nomination Form

 Picture of Amy Sweeney

For 14 years, Amy Sweeney was an American Airlines flight attendant. She lived in Acton, Massachusetts with her husband, Michael Sweeney, and their two small children. On September 11, 2001, the day our nation was attacked by terrorists, Amy Sweeney was working on American Airlines Flight 11, the first airplane hijacked by the terrorists to devastate New York City by flying into the Twin Towers of the World Trade Center. Before the plane hit the tower, Amy Sweeney had the courage and bravery to contact the airline's ground services crew to convey critical information about the five hijackers and their fatal actions on the plane that morning. It is for Amy Sweeney's heroism, and the heroism and brave spirit of so many of the victims on September 11, 2001, that this award has been created.

 

Recipients of the "Madeline Amy Sweeney Award for Civilian Bravery" must demonstrate exceptional bravery, without regard for personal safety, in an effort to save the life or lives of another or others in actual imminent danger.

To be considered, the nomination must include:

  1. Evidence of Massachusetts residency;
  2. Names of two or more witnesses or individuals having personal knowledge of the facts surrounding the candidate's extraordinary endeavor;
  3. A detailed account of any public recognition the candidate has received for his or her endeavor. (This includes recognition or awards from any local, civic, religious, or other organizations as well as any press coverage of the event in which the candidate displayed exceptional bravery).
  4. A completed nomination must be submitted using this online form or you may download an electronic version of the nomination form rtf format of sweeney_award_nomination_form.rtf , print it and mail it to Madeline Amy Sweeney Award, c/o Executive Office of Public Safety, One Ashburton Place Rm 2133, Boston, Massachusetts 02108, or you may email a completed form to eopsinfo@state.ma.us .

2012 Nomination Form

This form should be used only for recognition of acts of bravery performed from July 15, 2011 to June 15, 2012.


 		 
Name of Nominee:

Sex:

Nominee Address:

 
Nominee Telephone Number (include area code):

Date of Birth:
Employer (if applicable):

I certify that the nomination file has been completed in accordance with the above directions and hereby nominate the above-named individual to receive the Madeline Amy Sweeney Award for Civilian Bravery
In lieu of signature, type your full name:

A. Describe the heroic act performed by the candidate:

B. List the names, addresses and telephone numbers of individuals in the community who could be contacted regarding the act for which the candidate is being nominated:

C. Cite any recognition the candidate has received from local officials, civic, religious, academic groups, etc. or attention from the news media. Include website URLs or mail clippings, copies of citations or other evidence to the address above:

D. Biographical sketch of the candidate (must be a civilian, not a member of the public safety community).
  
Name of Nominator:
 
Relationship:
Nominator Address:
Nominator Telephone (include area code):

THIS NOMINATION FORM MUST BE SUBMITTED BY Wednesday, August 1st, 2012 for acts of bravery performed from July 15, 2011 to June 15, 2012.

Date of Act of Bravery (including year):
Time:
Location:

When you are finished filling out this form, press the Submit Nomination Form button below.