Nomination for a Service Member or Living Veteran of the US Armed Services who has been Touched by War for a Quilt of Valor® "*" indicates required fields Relationship to Recipient* Self Family Member (husband, wife, son, daughter, etc) Friend Coordinator of a Group Award. For Group Award Events: Please provide the required information on a separate form or each recipient. Other Group Award InfoRequested Award Date* Month Day Year How many nominations are being submitted? A SEPARATE NOMINATION MUST BE SUBMITTED FOR EACH RECIPIENT.*Please enter a number from 1 to 20.RECIPIENT INFORMATIONRecipient Legal Name (no titles or nickname)* First Last Recipient Nickname or Other Name (optional)Male/Female* Male Female Recipient Address* Street Address Apt/Unit/Room City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Recipient's Residence CountyThis information will be used to locate a local QOVF volunteer to coordinate the award.Recipient Email* Recipient Phone Number*Current Status* Active Duty Veteran Discharge Status* Honorable Conditions Armed Forces Branch of Service (Army and Air Force include National Guard and Reservists)* Army Marine Corps Navy Air Force Coast Guard Space Force Dover Mortuary (AFMAO) Merchant Marines (1941-1945) Dates of Service (from year to year)*Current or Discharge RankFor assistance in determining Rank copy and paste the following link into a new browser tab for current DOD rank definitions. https://www.defense.gov/Resources/Insignia/Select oneE-1E-2E-3E-4E-5E-6E-7E-8E-9E-9W-1W-2W-3W-4W-5O-1O-2O-3O-4O-5O-6O-7O-8O-9O-10Where did the service member or veteran serve? (Check as many as applicable)*Awards for nominees currently deployed will be planned upon their return. World War II (1941-1946) Korean Conflict (1950-1955) Vietnam War (1955-1975) Panama, Operation Just Cause (1989-1990) Persian Gulf War (1990-1991) Cold War (1947-1991) Mogadishu, Somalia (1992-1993) Operation Enduring Freedom (OEF) (2001-2014) Operation Iraqi Freedom (OIF) (2002-2011) Operation New Dawn (OND) (2010-2011) Gulf War including Desert Shield and Desert Storm (ODS) (1990-1991) Other (comment required) Explanation of "Other"Please provide information about locations of service (e.g., stateside, deployments, countries).*Example: France, Germany, Korea, Vietnam, Panama, Beirut, Granada, Bosnia, Iraq, Afghanistan, Africa, Somalia, the Middle East, anti-terrorism operations and terrorism attacks against Armed Forces personnel. Additional Comments about the Service Member or Veteran:You may also provide comments about the nominee regarding unit or ship assignment, duties or responsibilities while serving, experiences, or other information that will help personalize and make the ceremony meaningful for the recipient.If you have coordinated this nomination with a local QOVF group or individual, please add the name of the group and the name of the person you contacted:CONTACT INFORMATION OF THE REQUESTERNominator Name* First Last Nominator City, State*Nominator Email* Nominator Phone*How did you hear about the Quilts of Valor Foundation?* Family or Friend From a Veteran or Service Member Awarded a Quilt of Valor Attended an Award of a Quilt of Valor Social Media: Facebook, Twitter, etc... News Story (TV or Newspaper) QOVF Website QOVF Brochure QOVF Booth QOVF Certified Quilt Shop Quilt Guild Community Event, (e.g., fair, festival, work place, etc. I am a QOVF Member I am a QOVF Volunteer Another veteran organization (e.g., American Legion, VFW, VVA, IAVA, MOPH, DAR) Other Additional Recipients for Group AwardSelect Yes, then answer the certification statement below, and SUBMIT to display another blank nomination page. Yes, I have more to enter No, I'm finished I certify that I have read the QOVF mission statement, all the other information, and affirm the recipient information I provided is accurate. Yes, I read the information and the recipient information I provided is accurate. CAPTCHA
