Military Service Award Nomination
Military Ambassador to Nevada County
Name of nominee
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First Name
Middle Name
Last Name
Suffix
Rank/Grade
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Military Branch
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Please Select
Army
Marine Corps
Navy
Air Force
Coast Guard
Space Force
Service status
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Please Select
Active Duty
Guard
Reserves
ROTC
Duty Location
*
Duty Title
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Nominating Official
Name & Title
*
Phone Number
*
Please enter a valid phone number.
Signature
*
Email
*
example@example.com
Major Duties and Responsibilities of Nominee
Leadership
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Community Service
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Excellence
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Resilience and Inspiration to Unit
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Citation (Written in bullet formats showing impact of nominee's action for determining award winner)
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Please provide a condensed synopsis (3-4 lines) for the script and presentation:
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Acronyms: These awards are being read by high-level executives that may or may not have served themselves. If you use acronyms that are common military terms, please describe them here to assist the panel's understanding of the accomplishments.
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