Ellis Island Medal of Honor Nomination Form

NOMINATION FORM

CRITERIA FOR MEDALISTS

The ELLIS ISLAND MEDALS OF HONOR are awarded annually to a group of distinguished living American citizens who meet one or more of the following criteria:

EXEMPLIFIES a life dedicated to the American way of hard work, self-improvement and community service.

PRESERVES and celebrates the history, traditions, and values of his or her ancestry group(s).

DEDICATES himself or herself to support and defend the values of American life.

BUILDS bridges between ethnic, racial, and religious groups in the U.S. and/or abroad.

REINFORCES the bonds between an American heritage group and its land(s) of origin.

NURTURES the life of a particular ethnic or heritage group, enabling that group to participate more fully in American society.

SHARES his or her personal and professional gifts with the local, national, or international community.

CONTRIBUTES distinguished service to humanity in any field, profession, or occupation.

To send this form via e-mail; please fill it out and click on the "SEND" box at the bottom of the form. All nominations must be received by March 15, 2005

Field marked with are required.
 I nominate:  

 Company:  

 Occupation/Title:  

 Address:  

 City:   State:  Zip:

   Phone:   Fax: 

 He/she is 
   an American citizen of:  ancestry.
   (Ancestry group, i.e. French, German, etc.)
Reasons for Ellis Island Medal of Honor nomination:
(Please refer to criteria)

For your nomination to be successfully considered, we request that you complete the following information. Without this information, we cannot process your nomination.
Your Name:
E-mail:
Address:
City: State: Zip:
Phone: Fax:

Please feel free to enclose up to one page of additional material to support your nomination.
Tel: 212-755-1492 ext. 22
Fax: 212.755.3762

232 Madison Ave (Suite 900)
New York, NY 10016
Tel: 212-755-1492
Fax: 212-755-3762
www.neco.org
email: EllisIslandRose@aol.com