Outstanding Oregon Woman Veteran of the Year Nomination Form

NOMINATIONS CLOSED

Thank you for your interest, but the nominations for 2016 Oregon Woman Veteran of the Year have closed.

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* 1. Your Information

Submitted By (Your Name)

Address

Phone

Email

Relationship to Veteran

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* 2. Woman Veteran Nominee

Name of Woman Veteran Nominated

Nominee's Dates of Service

Branch of Service

Nominees Address

Nominee's Phone

Nominee's Email

Your Relationship to Veteran?

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* 3. Please provide a brief military history of the nominee (if known).

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* 4. Please explain the woman veteran’s contributions to Oregon state or local communities.

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* 5. Please describe adversities the nominee has overcome.

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* 6. Please describe any volunteer work on behalf of veterans or other organizations.

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* 7. Please describe the nominee’s involvement in reaching out to assist fellow veterans or other women in need.

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* 8. Please describe any other outstanding attributes related to the betterment of veterans issues.

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* 9. Please describe any awards, recognition, commendations, accomplishments, news articles, or noteworthy information.

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* 10. Please use this space to explain any additional information pertinent to nomination.