Veteran Nomination Form

Veteran Nomination Form

We are looking for Nominations of Veterans, currently residing in the Hudson Valley, New York area; whom has demonstrated Resiliency & would be an inspiration/role model to others...
Point of Contact (POC) - Name of Person Nominating Veteran:*

First NameLast Name
POC Email*
example@example.com
POC Phone Number*
Please enter a valid phone number.
Veteran's City & County (in New York, where they presently reside)*

CityCounty
Veteran's Name to be Nominated:*

First NameLast Name
Veteran's Email (if known):
example@example.com
Veteran's Phone Number (if known):
Please enter a valid phone number.
Branch of Service:

Air ForceArmyCoast GuardMarine CorpNavySpace ForceOther
Dates of Service (Honorable Discharge A MUST):

Start (MM/DD/YYYY)End (MM/DD/YYYY)
Please Upload Proof of Military Service (if known):

ei: DD214, Photo in Uniform, VA ID Card, etc
Cancelof
Please explain why this veteran has shown resiliency and why they are or would be am inspiration/role model to others:*
For more information about about the S4L's 8th Annual Veterans' All White Affair & Resiliency Awards Gala, please contact (845) 537-9229 or TOHSpecialEvents@gmail.com, please also find us online on Facebook @Town of Highlands Special Events Committee.

Tickets & Sponsorship for Gala available online at: http://app.gopassage.com/events/veterans-all-white-affair-2024
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