Reporting Chapter:
Commanding Officer:
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Email Address:
Nominee's Name: (not required for Chapter of the Year)
Nominee's Chapter:
Nominee's Rank: (not required for Chapter/Shuttle of the Year)
Nominee's SCC#: (not required for Chapter/Shuttle of the Year)
Award Requested: Chapter of the Year Award
Shakedown Chapter of the Year Award
Support Ship of the Year Award
Flag Officer of the Year Award
Officer of the Year Award
Edgar Torres Memorial CO of the Year Award
Enlisted Member of the Year Award
Staff Member of the Year
Electronic Newsletter of the Year Award
Helping Hands Award
Basis for Recommendation:

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