Your Information:

Name of person submitting the nomination:

Contact E-mail of person submitting the nomination:

Nominee Information:

Nominee name (First and Last):

Check if this nomination is related to the nominee's contributions as:
    ...a member of the U.S. Coast Guard Auxiliary: 
    ...a regular or reserve member of the USCG: 
    ...a civilian staff member of the USCG., DHS or other Federal agency: 
    ...a state or local government employee (e.g. law enforcement, state boating administrator) : 

Nominee Auxiliary member number (if known):

Contact information if the nominee is not a USCG Auxiliary member:

Please describe the action, activity or contribution worthy of recognition in as much detail as possible:

Please indicate the date or date range of the action, activity or contribution:

Please indicate if you are recommending the nominee for a particular award or recognition (optional):

Awards to non-Auxiliarists are generally limited to certificates of appreciation although there are other forms of recognition appropriate in some circumstances.

The Awards Team will make a recommendation if you do not recommend a particular award.