NOMINATION FORM
 
Ellis Island Medals of Honor Saturday, May 8, 2010
**Deadline Date November 9, 2009**
The ELLIS ISLAND MEDALS OF HONOR are awarded annually to a group of distinguished American citizens who exemplify a life dedicated to community service. People who preserve and celebrate the history, traditions and values of his/her ancestry and who dedicate themselves to creating a better world for us all.

If you would like to nominate someone of extraordinary merit to receive the Ellis Island Medal of Honor please review the critera for selection by clicking here. View Criteria for Selection

* Mandatory Fields
I nominate (Name of our nominee)*
Occupation/ Title*
Company*
Address (line 1)*
Address (line 2)
City* State* ZIP code*
Telephone Fax Email*
(Ancestry group i.e., French, German, etc.)
He/She is an American Citizen of*   ancestry
Reason for Ellis Island Medals Honor nomination (please refer the criteria)
Your name*
Address (line 1)*
Address (line 2)
City* State* ZIP code*
Telephone Fax Email*
Please feel free to email additional material to support your nomination to ellisislandkate@aol.com.