ESGR Forms

ONLINE FORMS

Patriot Award - Sevice Member Nominator

Award your employer! Recognize your boss for his or her support of National Guard and Reserve members. Nominate him or her for a "Patriot Award". Your employer will receive a Department of Defense Certificate of Appreciation and a Patriot lapel pin. All members of the National Guard and Reserve are eligible to nominate their employers.

Please note: Certificates are printed with your employer's name, so please enter only one name per nomination. The standard turn around time for the Patriot Award to reach the address provided is 14 days from the date of submission.
Items preceded with an asterisk (*) are required. All fields are case sensitive. Also note that either a valid phone number or email address is required.

Civilian employer, employer-owner or supervisor:

Award Recipient:

* Business/Company
where you work:

* Street Address:

* City:

* State/APO/FPO:

* ZIP Code:

Telephone
(including area code):

Website Address (if available):

Nominator's (service member) information:

* First Name:

Middle Initial:

* Last Name:

* Rank:

* Street Address:

* City:

* State/APO/FPO:

* ZIP Code:

E-mail:

Daytime Telephone
(including area code):

* Component:

Your National Guard or Reserve unit information:

* Your Unit:

Unit Identification Code:

Unit Address:

City:

* State/APO/FPO:

ZIP Code:

Commander's Full name:

Rank:

Your boss may be eligible for higher recognition, but only if you take the time to explain. Please write a few sentences below to explain why your boss deserves this recognition:

My employer (check all that apply):

is highly supportive of my National Guard or Reserve service -- even when I am called on short notice.

outwardly recognizes me as a special asset because I am in the National Guard or Reserve.

continues my salary when I am on active duty.

continues company benefits while I am on active duty.

hires someone to fill in for me when I am on annual training duty without penalizing me.

keeps in touch with my family when I am on active duty for more than 30 days.

should be considered for a higher level award.

Certificate Mailing Instruction:

Please send the award to the ESGR Field Committee in the state where my employer/supervisior is located, for formal presentation to my employer/supervisor.

Please send to my home address.

For more information, call ESGR Support at 1-888-651-0389 or click to send an email.

Please note that the standard turn around time for the Patriot Award to reach the address provided is 14 days from the date of submission.