Copper Eagle Nomination Form - The Arizona Veterans Hall Of

Arizona Veterans Hall of Fame Society – Copper Eagle
Nomination Form
The Arizona Veterans Hall of Fame Society seeks to recognize deserving private institutions, organizations or corporate
entities whose actions warrant high recognition for services rendered to our military, our veterans, their families and/or
their survivors.
The recipient of this award is honored for immeasurable support of the military and veterans community by their
demonstrated performance and their unique combination of leadership and humane compassion. The award consists of a
metallic colored Copper Eagle mounted on raised base with an engraved inscription.
Nominee Name:
Address
(Street)
(City)
(State)
(Zip)
Point of Contact:
Telephone No: (
)
Email:
Website:
I hereby affirm that the information contained herein is accurate to the best of my knowledge and understanding, and in
conformance with the Nomination Guidelines.
Nominator’s Name:
Telephone:
(
)
Nominator Address:
Signature of Nominator
Date:
E-mail:
If selected, the President, CEO or an equivalent will accept the award.
(Circle one)
YES
NO
If not initially selected, is auto-resubmittal for a second year desired?
(Circle one)
YES
NO
 Please complete this Nomination cover form (required)
 Nominations for the Copper Eagle award may be submitted at any time during the calendar year.
 Nominations on hand on May 31st are considered for the subsequent year.
 The nominee must have been established in the state of Arizona for a minimum of two years.
 A President, CEO or equivalent is required to accept the Copper Eagle Award. (required)
 The nomination should consist of a 1,500 word (or less) text document describing the reason why the
nominee is deserving of the Arizona Veterans Hall of Fame Society Copper Eagle award.
 Please include any supporting documentation or letters of recommendation (10 Page Limit).
Only the nominator will be notified if this nominee is NOT selected.
MAIL COMPLETED PACKET TO:
ARIZONA VETERANS HALL OF FAME SOCIETY
4980South Alma School Road, Suite A2-619, Chandler, AZ, 85248
Phone 480 559-5303 ******* www.AVHOF.org