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Submit Nominations


Individual Award Nomination

Nominations for the STARFLEET Individual Awards are accepted on a rolling basis, and announced quarterly.


Person Submitting Nomination:
Name:
E-Mail:
SCC#:

Person Nominated for Award:
Name:
E-mail:
Rank:
Chapter:
Chapter Position(s):
Region:
Regional Position(s):
STARFLEET Position(s):
SCC#:
Expiration Date:

Award Information:
Award Requested:
Award Level:

Nominee qualifications:
Nominations should be a description of how the nominated member has gone above and beyond the call of duty in providing service to his or her chapter, region, or STARFLEET. Nominations should include descriptions of specific activities and events, and should explain why the member deserves the award.

For First Class Award Nominations Only
Endorsing RC: Region:
Regional Coordinator's endorsement:

If approved, shall notification and award certificate be sent directly to the nominee? Yes No

If "no," please provide name and address where notification should be sent.
Name:
E-mail:
Address:
Address2:
City: State: ZIP:

Special Requests: