Recipient Engagement and Event Request Form

Recipient Engagement & Event Request

Thank you for you interest in having a Medal of Honor Recipient participate in your event! After your request is submitted, a Society Staff member will be in touch with you within 72 hours. Requests will be processed in the order they are received.
Use the form below to describe your event and/or Recipient engagement request.

Please note that Recipients’ schedules are often filled months in advance for patriotic holidays, such as Memorial Day, July 4th, Veterans Day, and Military Birthdays.
Basic Event Details
Event Date

MonthDayYear
Please note that event requests less than six months in advance are less likely to be confirmed due to Recipient schedules.
Event Start Time

Hour Minutes

AM/PM Option
Event Title
Event End Time

Hour Minutes

AM/PM Option
Event Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Confirmation Deadline

MonthDayYear
Please specify the deadline by which you need confirmation.
Organization & Contact Information
Organization Name
Company / Organization URL
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Title
Is this your first time hosting a Recipient at your Organization?
If you selected no, please give a brief description of your relationship with the Society and the last event you hosted a Recipient at.

Specific Event & Audience Information
Is there a specific Recipient you wish to engage? If yes, please list them below.
Please describe the role you anticipate a Recipient would play at your event (EX: Speaking role, presence only, camaraderie, etc.)
What is the expected attendance at your event?
Exact count or range
Audience Demographics (please provide a description of the audience and/or attendees)
Will there be media coverage?
File upload

Please attach any agendas, programs, press release, etc. so that the Society may learn more about your event and nature of your request.
Cancelof
Travel & Logistics
If your organization will provide an honorarium to the Recipient for their participation, please note amount below. Enter $0 if this is not offered.
Will travel, lodging, and accommodations be provided should they be necessary?
If yes, please elaborate below.
Please describe security measures and protocols that are in place for the event.
Is there anything else you'd like to tell the Society about your organization and/or event?
Time

Hour Minutes

AM/PM Option
Should be Empty:

Recipient Engagement & Event Request