Nomination Application Veteran of the Year

AMERICAN MILITARY ORGANIZATION

(Broward, Palm Beach and Martin Counties)

The American Veteran of the Year" Nomination Application"

(Submit between June 1, 2012 and October 31, 2012)

NOMINEE NAME:_________________________________________________________________

(Last) (First)

MILITARY RANK: __________________________________________________________________

ADDRESS:________________________________________________________________________

CITY: ________________________________ STATE: _____________ ZIP CODE:____________

COUNTY (Check): _______Broward County ______Palm Beach County ______ Martin County

CELL TELEPHONE: ________________EMAIL:____________________________________________

NOMINATED BY: __________________________________________________________________

(Last) (First)

ADDRESS:________________________________________________________________________

CITY: ________________________________ STATE: ______________ ZIP CODE:_____________

CELL TELEPHONE: ________________EMAIL:___________________________________________

Please describe your nominee's volunteer efforts and why he/she should be honored with

this award (You may use an extra sheet of paper if necessary for your comments):

___________________________________________________________________

___________________________________________________________________