Veteran of the Year Application

Nominee Information:*

First Last

Nominee Phone

Nominee Address

Street Address Address Line 2 City State ZIP Code

Nominee Email

Please describe the nominee’s outstanding contributions to veterans, veterans’ issues, and the community as a whole.

Branch of Service

Date of Birth

Start Date of Service

End Date of Service

Type of Discharge

Current Employer

Address of Employer

Street Address Address Line 2 City State ZIP Code

Email

Consent*

I, the undersigned, nominate the above named person for the Southeastern Massachusetts "Veteran of the Year Award".*

Your Name*

First Last

Your Address

Street Address Address Line 2 City State ZIP Code

Your Phone

Signature*

Please submit this form by October 1, 2026

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