Submit a Nomination • Samuel J. Heyman Service to America Medals

Welcome! Thank you for your interest in submitting a nomination for the Samuel J. Heyman Service to America Medals.

DEADLINE EXTENDED: Nominations are now open until Wednesday, Dec. 31, 2025.

Before you submitting your nomination, please review the eligibility details, our tips for a strong nomination and our FAQs.

To save an incomplete nomination and return to it later, click the “Save my progress and resume later” checkbox near the top of each page.

If you prefer, you can download the Word version of the form to work on. We strongly prefer online submissions but if that is not possible, you can email them to us once it’s completed.

Nomination Information

Medal Category

Note: The Partnership will determine and assign medal categories based on the nominations received. Please select a nomination category that most closely aligns with the nominee’s work and accomplishment. All finalists will automatically be considered for the Federal Employee of the Year and the People's Choice awards if selected as finalists. You cannot specifically nominate someone for these categories.

Nominee Information

Note: If you are submitting a team nomination, please fill out the team lead’s information in this section. The team leader will serve as a spokesman for the team, if selected. You may provide additional team information in a later section.

Salutation

Other Salutation

First Name

Last Name

Job Title

Federal Department or Agency

Other Federal Department or Agency

If applicable, please include the organization's parent agency. E.g. the parent agency for NIST would be Department of Commerce.

Nominee Work Email

Nominee Personal Email

Nominee Work Phone

Alternate Contact Name

Note: We will utilize alternate contacts to assist with nominee communication. Alternate contacts can be the nominee’s executive assistant or any other preferred secondary contact.

Alternate Contact Email

Please do not include personal or additional email addresses of the nominee in this box.

Nominee's Age

Older than 3535 or youngerNote: Nominees for the Emerging Leaders category must be under 35 as of January 1, 2026.

Years of Service

Note: Nominees for the Career Achievement category must have 20 or more years of civil service as of January 1, 2026.

Nominee Office Mailing Address

Address Type

United States and TerritoriesInternationalForeign bureaus, missions or embassies should choose "International".

Address Information

Street Address 1

Street Address 2

City

State

Other State

Zip Code

Country

Work Address Information

Street Address 1

Street Address 2

City

Province/State/Territory

Postal Code

Country

Team Information

Note: For team submissions, at least one designated team lead is required for recognition purposes. If needed, up to two additional team members can be named. There is a maximum of three named individuals. Team nominations may also include a team name.

Examples include:

1 nominee and team name: Thuc Hoang and the Advanced Simulation and Computing Team (2025)

2 nominees: Neil Cheatwood and Stephen Hughes (2024)

2 nominees and team name: Luis Coronado Jr., Matt Pierce and the Online Passport Renewal Team (2025)

3 nominees: Tony Mento, Camille Otto and Hari Kalla (2024)

3 nominees and team name: Christina Ritter, Lara Strawbridge, Daniel Heider and the Medicare Drug Price Negotiation Team (2025

Is this a team nomination?

YesNo

What is the team's name?

Would you like to list additional team members individually?

Note: If there are more than two additional team members, please just use the team name as your submission.

Team Member 2

Salutation

Other Salutation

First Name

Last Name

Job Title

Does Team Member 2 work at the same Federal Department or Agency as the Team Lead?

YesNo

Federal Department or Agency

Other Federal Department or Agency

If applicable, please include the organization's parent agency. E.g. the parent agency for NIST would be Department of Commerce.

Work Email

Personal Email

Work Phone

Age

Older than 3535 or youngerNote: Nominees for the Emerging Leaders category must be under 35 as of January 1, 2026.

Years of Service

Note: Nominees for the Career Achievement category must have 20 or more years of civil service as of January 1, 2026.

Does Team Member 2 work at the same address as the Team Lead?

YesNo

Address Type

United States and TerritoriesInternational (Foreign Bureaus or Embassies should choose this option)

Street Address 1

Street Address 2

City

State

Other State

Zip Code

Country

Province/State/Territory

Postal Code

Country

Team Member 3

Salutation

Other Salutation

First Name

Last Name

Job Title

Does Team Member 3 work at the same Federal Department or Agency as the Team Lead?

YesNo

Federal Department or Agency

Other Federal Department or Agency

If applicable, please include the organization's parent agency. E.g. the parent agency for NIST would be Department of Commerce.

Work Email

Personal Email

Work Phone

Age

Older than 3535 or youngerNote: Nominees for the Emerging Leaders category must be under 35 as of January 1, 2026.

Years of Service

Note: Nominees for the Career Achievement category must have 20 or more years of civil service as of January 1, 2026.

Does Team Member 3 work at the same address as the Team Lead?

YesNo

Address Type

United States and TerritoriesInternational (Foreign Bureaus or Embassies should choose this option)

Street Address 1

Street Address 2

City

State

Other State

Zip Code

Country

Province/State/Territory

Postal Code

Country

Nominator or Submitter Information

Are you the nominator or the submitter?

Nominator - I'm writing this nomination myselfSubmitter - I'm submitting this nomination on behalf of the nominator

Note: If you know the nominee(s), can describe their work and are submitting this nomination yourself, you're the nominator!
If you are submitting this on behalf of the person who knows the nominee(s) and can describe their work, you're the submitter! (This includes agency awards coordinators, administrative assistants, etc.)

Submitter Information

Hint: This is your information, not the nominator's

Salutation

Other Salutation

First Name

Last Name

Job Title

Employer

Submitter Work Email

Submitter Personal Email

Submitter Work Phone

Nominator Information

Salutation

Other Salutation

First Name

Last Name

Job Title

Employer

Relationship to nominee (supervisor, colleague, friend, daughter, etc.)

Nominator Work Email

Nominator Personal Email

Nominator Work Phone

Alternate Contact Name

Note: We will utilize alternate contacts to assist with nominator communication. Alternate contacts can be the nominator's executive assistant or any other preferred secondary contact.

Alternate Contact Email

Would the Nominator like to receive email updates on the Samuel J. Heyman Service to America Medals program?

Yes, send the Nominator email updates

Reference Information

Identify and provide contact information for three references who can speak to the impact of the nominee's work. The nominator is automatically considered a reference and should not be repeated below. Options to consider:

A supervisor who can verify the nominee’s employment status and help us better understand the true nature and scope of the accomplishment.
An external validator who can speak to the impact of the nominee's work, such as a private sector or nonprofit colleague, a researcher.
An individual served by or directly benefitting from the nominee's work.

Reference #1

Salutation

Other Salutation

First Name

Last Name

Job Title

Employer

Phone

Alternate Contact Name

Alternate contacts can be the reference's executive assistant or any other preferred secondary contact, but please do not include their personal email address.

Alternate Email

Reference #2

Salutation

Other Salutation

First Name

Last Name

Job Title

Employer

Phone

Alternate Contact Name

Alternate contacts can be the reference's executive assistant or any other preferred secondary contact, but please do not include their personal email address.

Alternate Email

Reference #3

Salutation

Other Salutation

First Name

Last Name

Job Title

Employer

Phone

Alternate Contact Name

Alternate contacts can be the reference's executive assistant or any other preferred secondary contact, but please do not include their personal email address.

Alternate Email

Accomplishment Information

Accomplishment Summary

Summarize the concrete accomplishment for which this person or team should be recognized.

Use jargon-free language
The accomplishments must be related to the nominee's work as a federal employee (in other words, not community, volunteer or active-duty service)

In 200 words or less.

Accomplishment Description

Describe the challenge/ problem, how the nominee solved it and why it is important to the American public.
Where possible, include quantifiable outcomes such as dollars saved or the number of people helped.
Explain who the accomplishment benefits and how it benefits them.
Indicate when the accomplishment occurred. Except for career achievement nominees, accomplishments must be from the last three (3) years.
Explain how the work was innovative.

In 800 words or less

Contact Information
Your Rights Under GDPR

NOMINATION DEADLINE

DEADLINE EXTENDED: Nominations are now open until Wednesday, Dec. 31, 2025.

For questions, contact our team at sammies@ourpublicservice.org. Also, be sure to read our guide to writing a winning nomination.

Page header: 2019 Management Excellence Medal recipients Robert Cabana and the Kennedy Space Center Senior Management Team