Submit a Nomination

Your First Name
Your Last Name
Your Email

Select and Award
---Legislator Patriot of the Year AwardPatriot Award for Veteran EmploymentPatriot Award for Veteran-Owned Small BusinessDistinguished Patriot Award

Awardee Name
Awardee Email
Awardee Address
Awardee City
Awardee State
Awardee Zip

Justification/Reasons for Nomination
Additional Information