Nominate for QOV Touched by War Form Hosting Page

Relationship to Recipient*

Self
Family Member (husband, wife, son, daughter, etc)
Friend
Coordinator of a Group Award

Group Award Info

How many nominations are being submitted? A SEPARATE NOMINATION MUST BE SUBMITTED FOR EACH RECIPIENT.*

Planned Award Date*

--------------- RECIPIENT INFORMATION ---------------

Recipient Legal Name (no titles or nickname)*

First Last

Recipient Nickname or Other Name (optional)

Male/Female*

Male
Female

Recipient Address*

Street Address Address Line 2 City State ZIP Code

Recipient's Residence County

This 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 Duty
Veteran

Veteran Discharge Status*

Honorable Conditions

Branch 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)*

Explanation of "Other"

Rank at Discharge or Current Rank (optional)

Duty 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?*

Additional Recipients for Group Award

Select 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

Nomination for a Service Member or Living Veteran

who has been Touched by War for a Quilt of Valor®

Group Award Info

--------------- RECIPIENT INFORMATION ---------------

--------------- CONTACT INFORMATION FOR THE NOMINATOR ---------------

Additional Recipients for Group Award