NOMINATION FORM

THE Carmine A. Casciano
SALUTE TO SERVICE Award
Nomination Form

Thank you for nominating a military community member for the Carmine A. Casciano SALUTE TO SERVICE Award. Please complete the form below with as much detail as possible to help us understand why your nominee is deserving of this prestigious award.

Nominator Information

* Indicates required field

First Name *

Last Name *

Relationship to Nominee *

Email Address *

Organizations Name *

Phone Number *

Nominee Information

First Name *

Last Name *

Rank/Title *

Branch of Service *

Current or Last Unit/Assignment *

Email Address *

Phone Number *

Nomination Details

Reason for Nomination:

Please provide a detailed description of why this individual deserves the award. Include specific examples of their contributions, achievements, and impact on the military community. *

Significant Achievements:

List any awards, recognitions, or notable achievements of the nominee. *

Character and Leadership:

Describe the nominee’s character, leadership qualities, and how they embody the values of the military community. *

Impact on Community:

Explain how the nominee has positively impacted their community, both within and outside the military. *

Supporting Documents:

Upload any supporting documents such as letters of recommendation, certificates, or other relevant materials. *

Max file size: 20MB

Consent and Verification

Nominator Consent:

I confirm that the information provided is accurate to the best of my knowledge, and I consent to the Medic Now Foundation Inc using this information for the purpose of evaluating the nomination. *

I agree

Nominee Notification:

I understand that the nominee will be informed about this nomination and may be contacted for further information. *

I understand

Submit

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THE ​Carmine A. CascianoSALUTE TO SERVICE Award ​Nomination Form

THE Carmine A. Casciano
SALUTE TO SERVICE Award
Nomination Form