
Deborah Sampson
Nomination Form

Official Deborah Sampson Nomination Form
Deadline for nominations is May 11, 2022
Any nominations received after this date will not be reviewed
The nominee must be a woman who resides in Massachusetts. The nominee must have served on active duty for the U.S. Military, Reserves or National Guard. It is essential to include answers to the following:
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Provide an overview of the nominee’s military service, awards and pioneering efforts for women in the military.
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Describe any personal sacrifices or hardships the nominee endured in order to serve the military.
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Please specify the nominee’s accomplishments toward the enhancement of female veterans through community service and participation in veterans’ organizations.
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Why does this nominee merit special recognition as an Outstanding Woman Veteran? Please be specific.
Please provide a written explanation of why you nominated this person.