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Military Spouse Award Nomination Form

All nominations must be received by 12:00 am (midnight) PST, Sunday, February 12, 2006 . (Date subject to change.)
Name of Nominee    Email Address 1
Street Address   Email Address 2
City    State   Zip
Daytime Telephone    Evening Telephone

Nominated by    Email Address 1
Street Address    Email Address 2
City    State   Zip
Daytime Telephone    Evening Telephone
Branch   Rank
Relationship to the nominee

Please select 
one of four 
award categories:
Spouse of U.S. Active Duty Military Member
Spouse of U.S. Guard/Reserve Military Member
Spouse of U.S. Military Veteran (served less than 20 years)
Spouse of U.S. Military Retiree (served 20 years or more)
Please select 
the branch of service:
Army
Marine Corps
Navy
Air Force
Coast Guard
Essay  Submit a 500-word essay that reflects how your nominee meets each of the four measurable award criteria.
  1. Nominee demonstrates exceptional volunteer work accomplishments.
  2. Exhibits selfless giving to others in the community.
  3. Exudes ongoing strength during lengthy deployments, family separations and frequent moves.
  4. Fortitude in generating support of other military spouses and their families while "holding down his or her own fort."


Words remaining:

How did you hear 
about this award?

 
   

The four award recipients will be notified by e-mail, telephone and via U.S. Mail. The selected recipients and their spouses will receive an all-expense 4-day, 3-night round trip to Beverly Hills, California where the recipients will be honored at the TV taping of the 10th annual American Veteran Awards. The show will premiere on The History Channel and will also be seen on American Forces Network. Event/broadcast dates to be announced.

All nominations must be received by 12:00 am (midnight) PST, Sunday, February 12, 2006. (Date subject to change.)


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