Fillable Veteran Nomination Form

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Veteran Nomination Form

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File type: PDF

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Veteran of the Month
Nomination Form
Please complete the form below to nominate any military veteran of your choice; the veteran can be from any branch or
service era. The nominated Veterans will be considered for recognition at City Council meetings. If you
have any questions, please feel free to contact Ruth Duarte at (956) 795-5742 & email: rduarte@ci.laredo.tx.us
Nominee Information:
Name: __________________________________________________________________________________________
Branch of Service: _________________________________________________________________________________
Dates of Service:
__________________________________________________________________________________
Address: ________________________________________________________________________________________
City: _______________________________________________________ Zip: ____________________
Telephone: ______________________________________ Email: _______________________________________
Please share a brief summary below explaining your main reason nominating your selected veteran. If possible, include
any type of attachments. (Certificates, recognitions, awards, medals, ribbons etc.)
Nominated By:
Name: __________________________________________________________________________________________
Brief Summary: ___________________________________________________________________________________
Address: ________________________________________________________________________________________
City: _______________________________________________________ Zip: ______________________
Telephone: ______________________________________ Email: ________________________________________
Email:
rduarte@ci.laredo.tx.us
Please submit this form to the following:
Community Development
Ruth Duarte - Program Coordinator
1301 Farragut, 3
rd
Floor
Transit Center
Website:
ww.cityoflaredo.com
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Veteran Nomination Form

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Completed 1 January 2020

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