JROTC Hall of Fame Nomination Form

The JROTC Hall of Fame honors graduates with outstanding records of service to their country and community. To nominate an individual for this award, please fill out the form below, or if you prefer, download and submit our pdf form.

Nominee Information
Name*
First Last
Graduation Year
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone
Work Phone
Email
Military Rank and Participation at CBA
Please list their rank and any involvement in the JROTC at CBA (i.e. honor guard, drill team, etc.)
Please list any academic awards and other achievements while at CBA.
Collegiate Information
College/University
Degree
Graduation Year
Please list any awards or achievements they earned while at college/university.
Military Service Information
Year Commissioned
(if applicable)
Total # of Years of Service
Branch of Service
Highest Rank Achieved
Please list their most prominent assignments.
Please list any of their honors/awards earned while in the military.
Please list any of their honors/awards earned as a civilian.
Personal Information
Employer
Number of Years with Current Employer
Is the nominee married?
- Yes
- No
Spouse's Name
Number of Years Married
Does the nominee have any children?
- Yes
- No
Please list their name(s) and age(s):
Additional Information
Are they a member of any other Hall of Fame?
- Yes
- No
Which Hall of Fame(s) are they a member of?
Date of Induction(s):
Please list any family honors, achievements or any other information that you would like to share with us about the nominee.
Nominator Information
Name*
First Last
Year of Graduation*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone*
Email*

JROTC Hall of Fame Nomination Form

Nominee Information

Military Rank and Participation at CBA

Collegiate Information

Military Service Information

Personal Information

Additional Information

Nominator Information