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National Pioneer Recognition Program: Nomination Form
 
If you have Word, use this document. If you do not, use the template below.

NOTES ON FILLING OUT THIS FORM:

  • Anonymous nominations will not be considered.
  • If you complete this form in a nonsecure area, all information must be UNCLASSIFIED.
  • You must adhere to the word limit indicated for each category - your description of the nominee should not exceed one (single-spaced) typewritten page.
  • If you have any questions about this form or the Pioneer Recognition Program, please contact Cherie Jones at (703) 808-1206 (unsecure).
TO: Director, National Reconnaissance Office
Through: Executive Secretary
Pioneer Selection Board
14675 Lee Road
Chantilly, VA 20151-1715


Nominee:

Served as (position):

In (program/activity):


NOMINATOR INFORMATION:

Nominator Name (REQUIRED):

NRO Affiliation:

Street Address:

City, State, Zip:

Email:

Current Employer:

Work Phone:

Home Phone:

Classification of this information (REQUIRED):


  • Specify the nominee's major contribution (about 25 words):

  • Summary of the record and reputation that this individual has in the discipline of national reconnaissance (about 70 words):

  • Relate the nominee's contribution to the selection criteria (about 150 words):

  • Explain the complexity of the national reconnaissance challenge and how the nominee uniquely contributed to meeting that challenge (about 150 words):

  • Suggest a paragraph for the Pioneer Medallion that would be displayed in Pioneer Hall if the nominee is selected (i.e., a summary of how the nominee changed the scope and direction of national reconnaissance) (about 80 words):

| Pioneer Program | Selection Criteria | Program Fact Sheet |

 
 
 
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Night launch of an NRO Sponsored Titan Launch Vehicle
 
Night launch of an NRO Sponsored Titan Launch Vehicle
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