My Boss is a Patriot Submission Form

Award your employer!

Recognize your boss for his or her support of National Guard and Reserve members. Nominate him for a "My Boss is 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.

Civilian employer, employer-owner or supervisor:
Nominee: (Required)
Business/company where you work: (Required)
Street address: (Required)
City: (Required)
State:
ZipCode: (Required)
Telephone: (Required)
Web site address (if available):
Nominator's information:
Name: (Required)
E-mail: (Required)
Rank: (Required)
Daytime telephone: (Required)
Street Address: (Required)
City: (Required)
State:
ZipCode: (Required)
Component: (Required)
Your National Guard or Reserve unit information:
Your unit: (Required)
Unit address:
City:
State:
ZipCode:
Commander's full name: (Required)
Rank: (Required)

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 boss (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.

For more information, call the New Jersey Employer Support o the Guard and Reserve Committee at (609) 530-6950 or send a message to E-mail: NJESGR's Award Office.