Nomination for a Service Member or Living Veteran who has been Touched by War for a Quilt of Valor® Relationship to Recipient*SelfFamily Member (husband, wife, son, daughter, etc)FriendCoordinator of a Group AwardGroup Award InfoHow many nominations are being submitted? A SEPARATE NOMINATION MUST BE SUBMITTED FOR EACH RECIPIENT.*Planned Award Date* Date Format: MM slash DD slash YYYY --------------- RECIPIENT INFORMATION ---------------Recipient Legal Name (no titles or nickname)* First Last Recipient Nickname or Other Name (optional)Male/Female*MaleFemaleRecipient Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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*If the recipient's email address is not available, enter your email address. Recipient Phone Number*If the recipient's phone number is not available, enter your phone number.Current Status*Active DutyVeteranVeteran Discharge Status*Honorable ConditionsBranch of the U.S. Armed Forces (check all that apply)* Army (including activated Army National Guard/Reservists) Marine Corps Navy Air Force (including activated Air Force National Guard/Reservists) Coast Guard Air Force Mortuary Affairs Office (AFMAO), Dover Mortuary Merchant Marines (1941-1945) Dates of Service (from year to year)*Where did the service member or veteran serve? (Check as many as applicable)* World War II (1941-1946) Korean Conflict (1950-1955) Vietnam era (1961-1975) Persian Gulf War (1990-1991) Cold War (1947-1991) 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-present) Other (comment required) Explanation of "Other"Rank at Discharge or Current Rank (optional)E1E2E3E4E5E6E7E8E9E10WO1WO2WO3WO4WO5O1O2O3O4O5O6O7O8O9O10Duty Stations - Please provide information about duty stations (e.g., stateside, deployments, overseas duty) and locations of service (e.g., countries). Awards for service members currently deployed will be planned upon their return.*For 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, and other. Additional Comments about the Service Member or Veteran:Please provide additional information to personalize the award ceremony and make it meaningful for the recipient. For example, unit where serving/served, National Guard unit, ship, duties or responsibilities while serving, experiences, or other information.--------------- CONTACT INFORMATION FOR THE NOMINATOR ---------------Nominator Name* First Last Nominator City, State*Nominator Email* Nominator Phone*If you have coordinated this nomination with a local QOVF group or individual, please add the name of the group, the group number, or the name of the person you contacted:How did you hear about the Quilts of Valor Foundation?*Family or FriendFrom a VeteranBeing awarded a Quilt of ValorAttended an award of a Quilt of ValorFacebook/Twitter/Social MediaNews story (TV or Newspaper)QOVF WebsiteQOVF BrochureQOVF BoothQOVF Certified BusinessQuilt GuildI am a QOVF memberI am a volunteer for QOVFAnother veteran organization, e.g., American Legion, VFW, DAR, etc.Community Event, (e.g., fair, festival, work place, etc.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 enterNo, I'm finishedI 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