As a Member of Congress, it is my privilege to be able to officially recognize outstanding public achievements by the people who live in the 15th Congressional District. Appointment to public office Awards or honors Citizenship Eagle Scout Election to public office Gold Award Graduation Heroism Military academy appointment Other achievements of public distinction * marks required fields of data. Your Information Prefix: * - Select -Ms.Miss.Mrs.Mr.Mr. and Mrs.Rev.Dr.The HonorableRabbi First Name: * MI: Last Name: * Suffix: - None -2nd3rd4thIIIIIIVJr.Sr.M.D.PH.D.and Family Your Contact Information Street Address: * Street Address Continued: City: * State: * Zip Code: * +4 Extension: Email: * Telephone Phone Number * Phone Type: Standard voice telephoneVideophone [VP]Text-telephone device [TTD] What are these options? Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone. Honoree Information First Name of Honoree: * Last Name of Honoree: * Street Address of Honoree: * Honoree's City: * Honoree's State: * Honoree's ZIP Code: * Exact Date of Occasion: Year Year202220232024 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Recognition Type: * - Select -Appointment to public officeElection to public officeAwards or honorsCitizenshipEagle ScoutGold StarGraduationHeroismMilitary academy appointmentOther achievements of public distinctionBirthday (80+ years)Anniversary (50+ years)WeddingBaby's Birth Please provide other necessary information: CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.