Congressional Recognition – The Congressional Award

Please respond to the form below regardless of your preference unless you submitted your Record Book online via Submittable – those who submitted their record books via Submittable have already indicated their presentation preferences.

In order to be included in this round of scheduling requests, you need to submit the form by December 20, 2021.

Presentation Request Form

Name(Required)

First Last

Would you like us to reach out to your Member of Congress on your behalf to recognize you (either virtually or in-person) for earning your medal?(Required)

Yes, please reach out to my Member of Congress - I want to be recognized.

No, please do not reach out to my Member of Congress this time - I will just receive my medal in the mail.

Medal presentations will differ among Congressional Offices per each office's protocols. We cannot guarantee that your Member of Congress will conduct an in-person meeting during this time. However, we will provide ample resources for them to virtually recognize you if that is the case.

Please provide a BRIEF description of your goals and activities that you participated in to earn your Congressional Award Medal.(Required)

Please ensure we have your most up-to-date information below.

Email(Required)

Enter Email Confirm Email

Alternative or Parent/Guardian Email

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City

State / Territory(Required)

State / Territory

Address(Required)

ZIP / Postal Code Country

Presentation Request Form

Please ensure we have your most up-to-date information below.

Quick Links