The Blue Tie Affair:

Recognizing Our Children’s Heroes 2016 Nomination Form

Do you know someone who:

Serves as a volunteer coach?

Reads books to children at the local childcare center?

Wakes up extra early or stays super late to make sure your child is safe?

Organizes community efforts that support the well-being of children?

The Joint Base Myer-Henderson Hall Family Advocacy Program recognizes individuals in the National Capital Region who have gone above and beyond in the call of duty in their efforts to prevent child abuse and neglect in our community. Please nominate an individual for consideration. A committee from the installation will select final recipients from the list of nominees. Honorees will be announced at the Annual Blue Tie Affair, April 27, 2016, Spates Community Club (214 McNair Road (BLDG 407), Fort Myer, VA) at 1:30 PM. NOMINATION GUIDELINES

Deadline for nominations is April 8, 2016.

Nominations are open to the entire Community—all branches of the Military, Family members, DoD Civilians, Retirees, and community partners.

You may nominate more than one individual. Please complete a nomination form for each nominee.

Go to www.jbmhhmwr.com to download an electronic copy of the nomination form.

Please return all nomination forms NO LATER THAN APRIL 8, 2016 to: Army Community Service, ATTN: Family Advocacy Program,

202 Custer Road (BLDG 201), Fort Myer, VA 22211 OR suzanne.w.mcglothin.ctr@mail.mil

OR FAX to: 703-696-1201

For additional information, please contact the Family Advocacy Program at 703-696-6511 or suzanne.w.mcglothin.ctr@mail.mil.

The Blue Tie Affair:

Recognizing Our Children’s Heroes

2016 Nomination Form Nominee’s Information

Name Organization/Unit Work (or Home) Address Phone E-mail Address

Using no more than two additional pages, please consider the following questions and attach your response to this nomination form:

1. How long have you known the nominee? In what capacity? 2. Explain how the nominee has gone above and beyond the call of duty for our children. 3. What makes the nominee’s contributions to our community unique and noteworthy? 4. Please explain how the nominee has made a unique difference in the prevention of child

abuse and neglect in our community.

YOUR (the Nominator’s) Information

Name Organization/Unit Work (or Home) Address Phone E-mail Address

Please return all nomination forms NO LATER THAN APRIL 8, 2016 to: Army Community Service, ATTN: Family Advocacy Program,

202 Custer Road (BLDG 201), Fort Myer, VA 22211 OR suzanne.w.mcglothin.ctr@mail.mil

OR FAX to: 703-696-1201